1. TRAUMA IN WRIST JOINT

2. CASE PRESENTATION A 20 YR OLD MAN CAME WITH H/O TRAUMA TO RIGHT WRIST JOINT CAME WITH COMPLAINTS OF Swelling around the wrist joint Inability to move wrist 3. PLAIN XRAY OF WRIST SHOWS 4. ON TRACTION 5. SO MY DIAGNOSIS IS A PLAIN X RAY AP AND LATERAL VIEW OF LEFT WRIST JOINT SHOWING TRANSSCAPHOID PERILUNATE DISLOCATION OF WRIST JOINT FRACTURE WAIST OF SCAPHOID FRACTURE ULNAR STYLOID PROCESS INTRA ARTICULAR FRACTURE OF BASE OF FIRST METACARPAL (BENNETS FRACTURE) TRANSVERSE # DISTAL END OF FIRST METACARPAL 6. RADIOLOGIC ANATOMY OF WRIST JOINT 7. LATERAL RADIOGRAPH 8. FEW TERMINOLOGIESNEUTRAL VARIANCE WITH NORMAL ANATOMY OF 9. THE NORMAL ULNAR SLANT 10. THE PALMAR INCLINATION OF RADIUS 11. 5 MM 8 MMNEGATIVE ULNAR VARIANCEPOSITIVE ULNAR VARIANCE 12. Views in wrist joint Dorsovolar view in ulnar deviation scaphoid Supinated oblique Pisiform bone and pisotriquetral joint Pronated oblique Triquetral Radiovolar aspect of scaphoid Radial styloid Carpel tunnel view Hook of hamate Pisiform Volar aspect of trapezium 13. ULNAR DEVIATION VIEW 14. SUPINATED OBLIQUE VIEW 15. PRONATED OBLIQUE VIEW 16. CARPAL TUNNEL VIEW 17. TRAUMATIC LESIONS OF WRIST 18. SCAPHOID FRACTURE 19. CT SCAN REVEALS THE HUMPBACK DEFORMITY IN SCAPHOID FRACTURE PALMAR FLEXION OF DISTAL FRAGMENT AND DORSI APEX ANGULATION 20. CLASSIFIED BY LOCATION AS TUBERCLE [5-10%] DISTAL POLE WAIST [70-80%] PROXIMAL POLE [10-15%] COMPLICATIONS NON UNION OSTEONECROSIS POST TRAUMATIC ARTHRITIS 21. FRACTURE OF TRIQUETRUM 22. FRACTURE OF HAMATE BONE 23. FRACTURE PISIFORM RARE DUE TO FALL ON OUTSTRECTCHED ARM OR HIT BY A HAMMER 24. FRACTURE OF LUNATE FALL ON DORSIFLEX HAND OR STRENOUS PULL OF HAND PERILUNATE DISLOCATION SECONDARY TO KIENBOCH,S DISEASE 25. # LUNATE NOTED MORE CLEARLY ON LATERAL VIEW 26. FRACTURE OF CAPITATE 27. KEINBOCHS DISEASE 28. DISLOCATION OF CARPAL BONES VULNERABLE ZONES OF THE WRIST JOINT LESSER ARC SHOWS THE DISLOCATION ZONE GREATER ARC SHOWS THE FRACTURE DISLOCATION ZONE 29. SCAPHOTRAPEZIUM (RADIAL LINK) AND TRIQUETROHAMATE (ULNAR LINK) JOINTS 30. STAGE 1 SCAPHOLUNATE FAILURE WITH SUBLUXATION OF SCAPHOID STAGE 2- CAPITOLUNATE FAILURE WITH DISLOCATION OF CAPITATE (PERILUNATE DISLOCATION) STAGE 3 TRIQUETROLUNATE FAILURE WITH MIDCARPAL DISLOCATIONSTAGE 4 COMPLETE LUNATE DISRUPTION WITH DORSAL RADIOCARPAL LIGAMENT FAILURE 31. NORMAL A N ATO M I C A L O R I E N TAT I O N WITH RADIUS LU N AT E C A P I TAT E A N D 3 RD M E TA C A R PA L IN SAME AXIS 32. BREAK OF THE LONGITUDINAL LIGAMENT OF 3RD METACARPALARC 2 AND 3 DISRUPTEDCLASSICAL PICTURE OF PERILUNATE DISLOCATION 33. FRACTURE OF SCAPHOID WITH INCONCLUSIVE ARRANGEMENT OF ARCS CAPITATE NOTED DORSAL TO LUNATESUGGESTIVE TRANSSCAPHOID PERILUNATE DISLOCATION 34. Isolated scaphoid dislocation 35. Transradial, transscaphoid, transtri quetral lunate dislocation 36. TERRY THOMAS SIGNWIDENING OF SPACE BETWEEN SCAPHOID AND LUNATE MS MORE THAN 2 MMSIGN OF SCAPHOLUNATE DISLOCATION 37. CORTICAL SHADOW NOTED OVER SCAPHOID DUE TO BONES DORSAL TILT CAUSING IT TO BE SEEN END ON THIS IS EXAGGERATED BY RADIAL DEVIATIONCALLED AS THE SIGNET RING SIGN 38. DISLOCATION OF LUNATE WITH BREAK OF LONGITUDINAL LIGAMENT OF 3RD METACARPAL LIGAMENTDISTRUPTION OF ARC 2 SUGGESTIVE OF MAL ALIGNMENTLUNATE DISLOCATION 39. SCAPHOID D I S L O C AT I O N WITH AXIAL C A R PA L DISRUPTION RADIAL VOLAR DISLOCATION OF SCAPHOID PROXIMAL MIGRATION OF CAPITATE INTERRUPTION OF 3RD ARC OF CARPUS AND # OF BASE OF 4TH METACARPAL