CASE REPORTS
JOURNAL ARTICLE
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Dorsal dislocation of the trapezoid with carpo-metacarpal dislocations: a case report and a description of the "missing carpal sign" on radiographs.

BACKGROUND: A case report of dorsal trapezoid dislocation with index and middle carpometacarpal dislocation is described.

OBJECTIVES: On review of the literature, this rare injury is often misdiagnosed on presentation, with difficulty in reviewing initial radiographs being a key factor.

CASE REPORT: We present our case report of trapezoid dislocation and describe the "missing carpal sign" on radiographs as an aid to suspicion of diagnosis.

CONCLUSION: Trapezoid dislocation is an often-overlooked diagnosis; we present a sign to increase suspicion of injury and hence promote further investigation.

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