Surgical Treatment of Complicated Wrist Injury - 5-Month Follow-Up - A Case Report.

Authors

  • Jakub Maciej Pieniazek Casimir Pulaski University of Radom, Faculty of Medical Sciences and Health Sciences
  • Mateusz Dobosz Casimir Pulaski University of Radom, Faculty of Medical Sciences and Health Sciences
  • Karolina Kornatowska Casimir Pulaski University of Radom, Faculty of Medical Sciences and Health Sciences
  • Daniel Trojnacki Casimir Pulaski University of Radom, Faculty of Medical Sciences and Health Sciences
  • Krzysztof Batycki Casimir Pulaski University of Radom, Faculty of Medical Sciences and Health Sciences

DOI:

https://doi.org/10.3941/jrcr.5785

Abstract

A 40-year-old man was involved in a motorcycle accident in Thailand, where limited diagnostic capabilities led to the oversight of severe wrist injuries. Due to the mistaken assumption that the patient was a tourist, detailed imaging of the wrist was not carried out, resulting in a delay of treatment for many months. It was only upon return to Poland that CT scans were performed, revealing multiple fractures and dislocations of the wrist bones, requiring urgent surgical intervention. This case highlights the importance of accurate post-traumatic injury diagnosis, the consequences of its neglect and 5-month follow up of surgical treatment.

Coronal section – marked osteoporosis. The distal row (trapezium [a], trapezoid [b], capitate [c], and hamate [d] bones) is mostly intact, with no significant fractures and proper alignment relative to each other and the metacarpal bones [e]. The proximal row is essentially absent— there is a visible "gap" [f] between the distal row and the radius [g].

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Published

2026-03-31

Issue

Vol. 20 No. 3 (2026)

Section

Musculoskeletal Radiology

License

Copyright (c) 2026 Journal of Radiology Case Reports

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