Journal of surgical orthopaedic advances
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Traumatic axial dislocation of the carpus in a 20-year-old man is described. This injury was accompanied by a crushing injury to the hand. ⋯ Despite the restoration of painless wrist motion postoperatively, grip strength remained below normal. Early accurate reduction, fixation, and range of motion exercise are the treatments of choice in such complex injuries.
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Traumatic injuries to the cervical spine are often difficult to detect and are associated with substantial morbidity and mortality. Along with standard trauma radiographs, a thorough physical examination and meticulous documentation are of the utmost importance because many neurologic injuries evolve over time. ⋯ It is crucial to recognize injuries to the cervical spine and the different treatment options. Computed tomography can be very helpful in defining the bony injury and evaluating the spinal canal, whereas magnetic resonance imaging can better evaluate the spinal cord and assess ligamentous injury.