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Malaligned carpal bone

MedGen UID:
383975
•Concept ID:
C1856742
•
Finding
Synonym: Incorrect alignment of wrist bone
 
HPO: HP:0006092

Definition

Malalignement of carpal bone angles either with respect to each other, to the corresponding metacarpals or with respect to the wrist (radius and ulna). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMalaligned carpal bone

Conditions with this feature

Acromesomelic dysplasia 2B
MedGen UID:
346432
•Concept ID:
C1856738
•
Disease or Syndrome
Acromesomelic dysplasia-2B (AMD2B) is characterized by normal head and trunk, hypoplastic/dysplastic or absent fibulae, and severe hypoplastic/dysplastic hand/feet abnormalities. Mental development is normal (summary by Szczaluba et al., 2005).
See: Condition Record
Acromesomelic dysplasia 2B

Professional guidelines

PubMed

Management of Nondissociative Instability of the Wrist.
Zelenski NA, Shin AY
J Hand Surg Am 2020 Feb;45(2):131-139. Epub 2019 Dec 19 doi: 10.1016/j.jhsa.2019.10.030. PMID: 31866152
Arthroscopic management of chronic unstable scaphoid nonunions: effects on restoration of carpal alignment and recovery of wrist function.
Kim JP, Seo JB, Yoo JY, Lee JY
Arthroscopy 2015 Mar;31(3):460-9. Epub 2014 Nov 4 doi: 10.1016/j.arthro.2014.08.035. PMID: 25442643

Recent clinical studies

Etiology

Comparative analysis of cancellous graft and cortico-cancellous graft in osteosynthesis of scaphoid pseudoarthrosis with plate.
Wataya EY, Meneghel GH, Mores V, Nakamoto JC, Xavier RM, Junior RM
Arch Orthop Trauma Surg 2023 Nov;143(11):6955-6963. Epub 2023 Aug 1 doi: 10.1007/s00402-023-05003-9. PMID: 37526738
Correlation between delayed carpal tunnel syndrome and carpal malalignment after distal radial fracture.
Elwakil W
J Orthop Surg Res 2023 May 17;18(1):365. doi: 10.1186/s13018-023-03844-z. PMID: 37193988Free PMC Article
Scaphoid Reconstruction.
Borges CS, Ruschel PH, Pignataro MB
Orthop Clin North Am 2020 Jan;51(1):65-76. Epub 2019 Oct 17 doi: 10.1016/j.ocl.2019.08.010. PMID: 31739880
Vascularized bone grafts for scaphoid nonunions.
Jones DB Jr, Rhee PC, Shin AY
J Hand Surg Am 2012 May;37(5):1090-4. Epub 2012 Apr 5 doi: 10.1016/j.jhsa.2012.03.001. PMID: 22483177
Displaced fracture of the waist of the scaphoid.
Dias JJ, Singh HP
J Bone Joint Surg Br 2011 Nov;93(11):1433-9. doi: 10.1302/0301-620X.93B11.26934. PMID: 22058291

Diagnosis

Correlation between delayed carpal tunnel syndrome and carpal malalignment after distal radial fracture.
Elwakil W
J Orthop Surg Res 2023 May 17;18(1):365. doi: 10.1186/s13018-023-03844-z. PMID: 37193988Free PMC Article
Imaging evaluation of traumatic carpal instability.
Ibitayo A, Beckmann NM
Emerg Radiol 2021 Apr;28(2):349-359. Epub 2020 Aug 18 doi: 10.1007/s10140-020-01839-5. PMID: 32808235
Carpal Fractures Other than Scaphoid in the Athlete.
Mahmood B, Lee SK
Clin Sports Med 2020 Apr;39(2):353-371. Epub 2020 Feb 4 doi: 10.1016/j.csm.2019.12.006. PMID: 32115089
Scaphoid Nonunions.
Klifto CS, Ramme AJ, Sapienza A, Paksima N
Bull Hosp Jt Dis (2013) 2018 Mar;76(1):27-32. PMID: 29537954
Carpal instability.
Schmitt R, Froehner S, Coblenz G, Christopoulos G
Eur Radiol 2006 Oct;16(10):2161-78. Epub 2006 Mar 1 doi: 10.1007/s00330-006-0161-1. PMID: 16508768

Therapy

Comparative analysis of cancellous graft and cortico-cancellous graft in osteosynthesis of scaphoid pseudoarthrosis with plate.
Wataya EY, Meneghel GH, Mores V, Nakamoto JC, Xavier RM, Junior RM
Arch Orthop Trauma Surg 2023 Nov;143(11):6955-6963. Epub 2023 Aug 1 doi: 10.1007/s00402-023-05003-9. PMID: 37526738
Scaphoid Reconstruction.
Borges CS, Ruschel PH, Pignataro MB
Orthop Clin North Am 2020 Jan;51(1):65-76. Epub 2019 Oct 17 doi: 10.1016/j.ocl.2019.08.010. PMID: 31739880
Preiser disease after repeated local glucocorticoid injections: A case report.
Tomori Y, Motoda N, Ohashi R, Sawaizumi T, Nanno M, Takai S
Medicine (Baltimore) 2018 Sep;97(38):e12413. doi: 10.1097/MD.0000000000012413. PMID: 30235715Free PMC Article
Scaphoid Nonunions.
Klifto CS, Ramme AJ, Sapienza A, Paksima N
Bull Hosp Jt Dis (2013) 2018 Mar;76(1):27-32. PMID: 29537954
Scaphoid overstuffing: the effects of the dimensions of scaphoid reconstruction on scapholunate alignment.
Capito AE, Higgins JP
J Hand Surg Am 2013 Dec;38(12):2419-25. doi: 10.1016/j.jhsa.2013.09.035. PMID: 24275051

Prognosis

Correlation between delayed carpal tunnel syndrome and carpal malalignment after distal radial fracture.
Elwakil W
J Orthop Surg Res 2023 May 17;18(1):365. doi: 10.1186/s13018-023-03844-z. PMID: 37193988Free PMC Article
The Dorsal Ligament Complex: A Cadaveric, Histology, and Imaging Study.
Wessel LE, Kim J, Morse KW, Loisel F, Koff MF, Breighner RE, Doty SB, Wolfe SW
J Hand Surg Am 2022 May;47(5):480.e1-480.e9. Epub 2021 Jul 19 doi: 10.1016/j.jhsa.2021.06.003. PMID: 34294477
Pisiform malalignment associated with distal radius fractures.
Tajima T, Zenke Y, Yamanaka Y, Menuki K, Sakai A
J Orthop Sci 2018 May;23(3):511-515. Epub 2018 Mar 2 doi: 10.1016/j.jos.2018.02.010. PMID: 29503035
Risk Factors of Lunate Collapse in Kienböck Disease.
van Leeuwen WF, Tarabochia MA, Schuurman AH, Chen N, Ring D
J Hand Surg Am 2017 Nov;42(11):883-888.e1. Epub 2017 Sep 6 doi: 10.1016/j.jhsa.2017.06.107. PMID: 28888572
Predicting alignment after closed reduction and casting of distal radius fractures.
LaMartina J, Jawa A, Stucken C, Merlin G, Tornetta P 3rd
J Hand Surg Am 2015 May;40(5):934-9. Epub 2015 Mar 12 doi: 10.1016/j.jhsa.2015.01.023. PMID: 25772286

Clinical prediction guides

Correlation between delayed carpal tunnel syndrome and carpal malalignment after distal radial fracture.
Elwakil W
J Orthop Surg Res 2023 May 17;18(1):365. doi: 10.1186/s13018-023-03844-z. PMID: 37193988Free PMC Article
Patient-specific plate for navigation and fixation of the distal radius: a case series.
Dobbe JGG, Peymani A, Roos HAL, Beerens M, Streekstra GJ, Strackee SD
Int J Comput Assist Radiol Surg 2021 Mar;16(3):515-524. Epub 2021 Feb 11 doi: 10.1007/s11548-021-02320-5. PMID: 33575933Free PMC Article
Multiplanar reformation computed tomography for carpal malalignment.
Schormans PMJ, Schots JPM, Weijers RE, Loeffen DV, Poeze M, Hannemann PFW
J Hand Surg Eur Vol 2019 Dec;44(10):1049-1055. Epub 2019 Aug 19 doi: 10.1177/1753193419869193. PMID: 31426709
Arthroscopic Distal Scaphoid Resection for Isolated Scaphotrapeziotrapezoid Osteoarthritis.
Iida A, Omokawa S, Kawamura K, Shimizu T, Onishi T, Tanaka Y
J Hand Surg Am 2019 Apr;44(4):337.e1-337.e5. Epub 2018 Jul 26 doi: 10.1016/j.jhsa.2018.06.021. PMID: 30057219
Pisiform malalignment associated with distal radius fractures.
Tajima T, Zenke Y, Yamanaka Y, Menuki K, Sakai A
J Orthop Sci 2018 May;23(3):511-515. Epub 2018 Mar 2 doi: 10.1016/j.jos.2018.02.010. PMID: 29503035

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