Fracture and Dislocation of the Carpus by C.D. Newton; B0026

Fracture and Dislocation of the Carpus by C.D. Newton; B0026

7 Pages · 2002 · 217 KB · English

In: Textbook of Small Animal Orthopaedics, C. D. Newton and D. M. Nunamaker (Eds.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New

Fracture and Dislocation of the Carpus by C.D. Newton; B0026 free download

In: Textbook of Small Animal Orthopaedics, C. D. Newton and D. M. Nunamaker (Eds.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New York, USA. Fracture and Dislocation of the Carpus ( 1-Jan-1985 ) C. D. Newton ! Anatomy ! Surgical Anatomy ! Fractures of the Carpus ! Dislocation of the Carpus Fracture or dislocation of the carpus usually results from automobile trauma or falling from a height. The axial loading of the joint is most likely to result in fractures, whereas trauma with the joint in extension is likely to result in carpal luxation or accessory carpal bone luxation. Owing to the anatomical complexity of the carpus, a thorough review of the bony and ligamentous structures of the area is in order before discussion of fracture or dislocation repair. ANATOMY The carpus is composed of seven major bony structures: the radial carpal bone, ulnar carpal bone, accessory carpal bone, first carpal bone (I), second carpal bone (II), third carpal bone (III), and fourth carpal bone (IV) (Fig. 25-1). These seven bones form a very complex set of joints. Essentially three major articulations are present. The antebrachiocarpal joint is formed between the distal radius and ulna and the radial and ulnar carpal bones. This joint is stabilized primarily by a radial (medial) collateral ligament and an ulnar (lateral) collateral ligament 3 (Fig. 25-2). The antebrachiocarpal joint has the capacity for the greatest amount of carpal motion. Approximately 80% to 90% of carpal motion occurs through this joint. The middle carpal joint is formed between the radial and ulnar carpal bones and carpal bones 1, 11, 111, and IV. Numerous short ligaments reinforce this joint by passing between the rows of bones as well as between the bones of each row.(3) The middle

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