ABSTRACT
Objective To investigate the diagnostic value of triangular shadow changes in carpus dislocation.Methods 68 patients with carpal dislocation underwent frontal and lateral X-ray films.The changes of triangular shadow on lateral films were evaluated based on imaging findings of normal wrist joints.Results Changes of triangular shadow were found in 65 (95.59％)patients,while 3 (4.41％)patients had no changes.There were 17 patients with simple carpal dislocation,in which 15 cases showed triangular shadow changes, while 2 patients showed no changes.Thirty-two patients got pericarpal dislocation,in which 31 cases with triangular shadow changes and 1 case without any changes.The triangular shadow changes were observed in all 19 patients with trans-carpal carpal dislocation or trans-carpal pericarpal dislocation.Conclusion The changes of triangular shadow are helpful in the diagnosis of carpal dislocation, it is difficult to diagnose carpal lateral dislocation.
ABSTRACT
Objective To investigate the diagnostic value of triangular shadow changes in carpus dislocation.Methods 68 patients with carpal dislocation underwent frontal and lateral X-ray films.The changes of triangular shadow on lateral films were evaluated based on imaging findings of normal wrist joints.Results Changes of triangular shadow were found in 65 (95.59％)patients,while 3 (4.41％)patients had no changes.There were 17 patients with simple carpal dislocation,in which 15 cases showed triangular shadow changes, while 2 patients showed no changes.Thirty-two patients got pericarpal dislocation,in which 31 cases with triangular shadow changes and 1 case without any changes.The triangular shadow changes were observed in all 19 patients with trans-carpal carpal dislocation or trans-carpal pericarpal dislocation.Conclusion The changes of triangular shadow are helpful in the diagnosis of carpal dislocation, it is difficult to diagnose carpal lateral dislocation.