{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:03:52Z","timestamp":1777662232056,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,12,5]],"date-time":"2016-12-05T00:00:00Z","timestamp":1480896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>Background: Axial carpal dislocations and fracture-dislocations remain difficult to understand and to treat. The outcome is directly related to the injury pattern and long-term results are not good in most cases. Methods: 39-year-old male admitted to our emergency department after his left hand was caught between 2 rollers for 10 minutes. He was diagnosed of an open axial carpal dislocation type B (perihamate peripisiform) and type E (peritrapezium) of Garcia-Elias. An extensive debridement, reduction of the carpometacarpal dislocations and stabilization with Kirschner wires was performed requiring a full thickness skin graft 14 days after the trauma. Results: At 4-year follow-up, he had 70\u00b0 of wrist extension, and 78\u00b0 of wrist flexion, grip strength of 65% compared to the healthy side and x-ray showed mild signs of osteoarthritis. He was satisfied and returned to the same job. Conclusions: Axial carpal dislocations continue to be difficult injuries to address but also to classify. Since the prognosis depends on the injury pattern and other associated lesions, we believe that adding a type G which include the association of different patterns to the classification of Garcia-Elias could be useful not in changing the treatment but probably indicating a worse prognosis.<\/jats:p>","DOI":"10.1177\/1558944716681978","type":"journal-article","created":{"date-parts":[[2016,12,5]],"date-time":"2016-12-05T22:25:30Z","timestamp":1480976730000},"page":"NP73-NP77","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Combined Perihamate Peripisiform and Peritrapezium Open Axial Carpal Dislocation: Description of a New Pattern of Crush Injury"],"prefix":"10.1177","volume":"12","author":[{"given":"Isidro","family":"Jim\u00e9nez","sequence":"first","affiliation":[{"name":"Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martine","family":"Dury","sequence":"additional","affiliation":[{"name":"SOS Main Strasbourg, Clinique des Diaconesses, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,5]]},"reference":[{"issue":"3","key":"bibr1-1558944716681978","first-page":"189","volume":"28","author":"Ayala-Hern\u00e1ndez E","year":"2014","journal-title":"Acta Ortop Mex"},{"key":"bibr2-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408091348"},{"key":"bibr3-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00020"},{"issue":"12","key":"bibr4-1558944716681978","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.3928\/0147-7447-20011201-16","volume":"24","author":"Freeland AE","year":"2001","journal-title":"Orthopedics"},{"key":"bibr5-1558944716681978","first-page":"465","volume-title":"Green\u2019s Operative Hand Surgery","volume":"2011","author":"Garcia-Elias M.","edition":"6"},{"key":"bibr6-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80003-6"},{"key":"bibr7-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.09.013"},{"key":"bibr8-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810410004953"},{"key":"bibr9-1558944716681978","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860070-00014"},{"key":"bibr10-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.13111682"},{"key":"bibr11-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1549279"},{"key":"bibr12-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.11.003"},{"key":"bibr13-1558944716681978","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2012.08.003"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944716681978","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944716681978","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944716681978","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:39Z","timestamp":1777447719000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944716681978"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,5]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1177\/1558944716681978"],"URL":"https:\/\/doi.org\/10.1177\/1558944716681978","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,5]]}}}