{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T04:12:58Z","timestamp":1747714378573,"version":"3.40.5"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Axial carpal dislocations (ACDs) are high-impact injuries, involving both proximal and distal carpal rows, adding complexity to the diagnostic and treatment challenges. This article explores a distinctive case of axial radial carpal dislocation, highlighting an irreducible second carpometacarpal joint (CMCJ) and concomitant scapholunate (SL) ligament injury. Understanding the background of axial carpal injuries is crucial for recognizing and addressing these complex cases effectively.<\/jats:p><jats:p>\n          Description\u2003A 27-year-old man presented with a left wrist injury following a motorcycle accident, revealing an irreducible second CMCJ with a unique ligamentous injury pattern. Despite unsuccessful closed reduction attempts, the surgical intervention involved a dorsal midline incision, fixation of the second CMCJ and SL interval, and ligament repair. Postoperative assessment demonstrated proper alignment with a mild gap in the SL interval, revealing the intricate nature of the injury.<\/jats:p><jats:p>\n          Literature Review\u2003Existing studies describe a type of axial dislocation starting at the third webspace, traveling through capitate\u2013hamate intervals leading to scaphoid dislocation. However, in the article, we describe a variant of ACD through second CMCJ causing an SL interval instability.<\/jats:p><jats:p>\n          Clinical Relevance\u2003Recognizing and comprehensively addressing axial radial carpal dislocations are crucial for optimal patient outcomes. The case report contributes valuable insights into the rare pattern of ACD involving SL instability that was missed on initial radiographs but detected through computed tomography scan and thereby managed appropriately. Any CMCJ dislocation should raise a suspicion of axial dislocation unless proved otherwise.<\/jats:p>","DOI":"10.1055\/s-0044-1785500","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:11:53Z","timestamp":1713226313000},"page":"274-277","source":"Crossref","is-referenced-by-count":0,"title":["Complex Axial Carpal Dislocation with Scapholunate Ligament Injury"],"prefix":"10.1055","volume":"14","author":[{"given":"Sathya","family":"Vamsi Krishna","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopaedic, Trauma and Spine Surgery, Narayana Health City, Bengaluru, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikunj","family":"Gondaliya","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopaedic, Trauma and Spine Surgery, Narayana Health City, Bengaluru, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1055\/s-0032-1329629","article-title":"Combined perilunate and axial ulnar dislocation of the wrist","volume":"1","author":"R Gvozdenovic","year":"2012","journal-title":"J Wrist Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/S0363-5023(89)80003-6","article-title":"Traumatic axial dislocations of the carpus","volume":"14","author":"M Garcia-Elias","year":"1989","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.2214\/ajr.160.5.8470579","article-title":"Scaphoid dislocation with radial-axial carpal disruption","volume":"160","author":"R S Richards","year":"1993","journal-title":"AJR Am J Roentgenol"},{"issue":"10","key":"ref4","first-page":"867","article-title":"Traumatic axial-ulnar disruption of the carpus","volume":"20","author":"G Inoue","year":"1991","journal-title":"Orthop Rev"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.3928\/0147-7447-20011201-16","article-title":"Traumatic combined radial and ulnar axial wrist dislocation","volume":"24","author":"A E Freeland","year":"2001","journal-title":"Orthopedics"},{"issue":"09","key":"ref6","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1016\/j.jhsa.2008.09.013","article-title":"Perilunate and axial carpal dislocations and fracture-dislocations","volume":"33","author":"G Herzberg","year":"2008","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1148\/radiol.13111682","article-title":"Traumatic axial dislocation injuries of the wrist","volume":"267","author":"L E Reinsmith","year":"2013","journal-title":"Radiology"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S0266-7681(98)80229-5","article-title":"Solitary dislocation of the scaphoid. From case report to literature review","volume":"23","author":"Y F Leung","year":"1998","journal-title":"J Hand Surg [Br]"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1016\/j.jhsa.2004.06.018","article-title":"Isolated scaphoid dislocation associated with axial carpal dissociation: an unusual injury report","volume":"29","author":"T Horton","year":"2004","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/00005373-199303000-00032","article-title":"Rotatory dislocation of the second carpometacarpal joint: case report","volume":"34","author":"A K Mehara","year":"1993","journal-title":"J Trauma"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1016\/S0363-5023(87)80115-6","article-title":"Complex dorsal dislocation of the second carpometacarpal joint","volume":"12","author":"P K Ho","year":"1987","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1785500.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T22:44:41Z","timestamp":1747694681000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1785500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,15]]},"references-count":11,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,19]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1785500","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2024,4,15]]}}}