Hand and carpus 78

Anatomical region: Hand and carpus 7 78

78

78 78
78
78

78
78
78 78
78

78

78
77 77
77
*
77

77

76
74 75
73
76 72
71
76

Bones:
Hand and carpus, Lunate 71
Hand and carpus, Scaphoid 72
Hand and carpus, Capitate 73
Hand and carpus, Hamate 74
Hand and carpus, Trapezium 75
Hand and carpus, Other carpal bones 76
Hand and carpus, Metacarpal 77
Hand and carpus, Phalanx 78
Hand and carpus, Crushed, multiple fractures 79

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one
qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 www.jorthotrauma.com | S83
DOI: 10.1097/BOT.0000000000001061
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 J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 Hand and carpus

Lunate 71
Bone: Hand and carpus, lunate 71

Types:
Hand and carpus, lunate, Hand and carpus, lunate, Hand and carpus, lunate,
avulsion fracture simple fracture multifragmentary fracture
71A 71B 71C

Scaphoid 72
Bone: Hand and carpus, scaphoid 72

Types:
Hand and carpus, scaphoid, Hand and carpus, scaphoid, Hand and carpus, scaphoid,
avulsion fracture simple fracture multifragmentary fracture
72A 72B* 72C*

*Qualifications:
a Proximal pole
b Waist
c Distal pole

Capitate 73
Bone: Hand and carpus, capitate 73

Types:
Hand and carpus, capitate, Hand and carpus, capitate, Hand and carpus, capitate,
avulsion fracture simple fracture multifragmentary fracture
73A 73B 73C

Hamate 74
Bone: Hand and carpus, hamate 74

Types:
Hand and carpus, hamate, Hand and carpus, hamate, Hand and carpus, hamate,
hook fracture simple fracture multifragmentary fracture
74A 74B 74C

Trapezium 75
Bone: Hand and carpus, trapezium 75

Types:
Hand and carpus, trapezium, Hand and carpus, trapezium, Hand and carpus, trapezium,
avulsion fracture simple fracture multifragmentary fracture
75A 75B 75C

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Unauthorized reproduction of this article is prohibited.
Hand and carpus J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018

Other 76._.
Bone: Hand and carpus, other 76.__.

Pisiform Triquetrum Trapezoid

76.1. 76.2. 76.3.

→ The bone identifier (between two dots .__.) is added to the code after the anatomical region.

76.1
Hand and carpus, pisiform 76.1.

Type:
Hand and carpus, other, pisiform, Hand and carpus, other, pisiform, Hand and carpus, other, pisiform,
avulsion fracture simple fracture multifragmentary fracture
76.1.A 76.1.B 76.1.C

76.2
Hand and carpus, triquetrum 76.2.

Type:
Hand and carpus, other, triquetrum, Hand and carpus, other, triquetrum, Hand and carpus, other, triquetrum,
avulsion fracture simple fracture multifragmentary fracture
76.2.A 76.2.B 76.2.C

76.3
Hand and carpus, trapezoid 76.3.

Type:
Hand and carpus, other, trapezoid, Hand and carpus, other, trapezoid, Hand and carpus, other, trapezoid,
avulsion fracture simple fracture multifragmentary fracture
76.3.A 76.3.B 76.3.C

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Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.
 J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 Hand and carpus

Metacarpals 77.__.
Bone: Hand and carpus, metacarpal 77.__.

Metacarpal
identifiers

3 Distal
3 2
4
Bone 5
segment 2 Diaphyseal 1
location

1 Proximal

→ The metacarpal bones are identified as follows: Thumb = 1, index = 2, long or middle = 3, ring = 4, and little = 5.
→ The metacarpal identifier is added (between two dots .__.) after the bone code.
→ The bone segment location is then added.
→ Example: Hand, 3rd metacarpal, proximal end segment = 77.3.1

Location: Hand and carpus, metacarpal, proximal end segment 77.__.1

→ Example code for the 3rd metacarpal is indicated with an underline 77.3.1

Types:
Hand and carpus, metacarpal, proximal end Hand and carpus, metacarpal, proximal end Hand and carpus, metacarpal, proximal end
segment, extraarticular fracture segment, partial articular fracture segment, complete articular
77.3.1A 77.3.1B 77.3.1C

Location: Hand and carpus, metacarpal, diaphyseal fracture 77.__.2

→ Example code for the 3rd metacarpal is indicated with an underline 77.3.2
Types:

Hand and carpus, metacarpal, diaphyseal, Hand and carpus, metacarpal, diaphyseal, Hand and carpus, metacarpal, diaphyseal,
simple fracture wedge fracture multifragmentary fracture
77. 3.2A 77. 3.2B 77. 3.2C

Location: Hand and carpus, metacarpal, distal end segment 77.__.3

→ Example code for the 3rd metacarpal is indicated with an underline 77.3.3
Types:

Hand and carpus, metacarpal, distal end Hand and carpus, metacarpal, distal end Hand and carpus, metacarpal, distal end
segment, extraarticular fracture segment, partial articular fracture segment, complete articular fracture
77. 3.3A 77. 3.3B 77. 3.3C

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Hand and carpus J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018

Phalanx 78.__.__.
Bone: Hand and carpus, phalanx 78.__.__.
Finger

3
2
4

1
2
Phalanges

1 3 Distal
Bone
segment
2 Diaphyseal
location
1 Proximal

→ The fingers and phalanges are identified as follows:

Fingers: Thumb = 1, index = 2, long or middle = 3, ring = 4, and little = 5.
Phalanges: Proximal phalanx = 1, middle phalanx = 2, and distal phalanx = 3.
The finger identifier plus phalanx identifier are added (between dots .__.__.) after the bone code.
→ Example: Proximal thumb phalanx is 78.1.1.
→ The location is then added.
→ Anatomical region+bone.Finger.Phalanx.Bone segment location
→ Example: Proximal thumb phalanx proximal end segment is 78.1.1.1

Location: Hand and carpus, phalanx, proximal end segment 78.1.1.1

→ Example code for proximal thumb phalanx is indicated with an underline 78.1.1.1

Types:
Hand and carpus, phalanx, proximal end Hand and carpus, phalanx, proximal end Hand and carpus, phalanx, proximal end
segment, extraarticular fracture segment, partial articular fracture segment, complete articular fracture
78.1.1.1A 78.1.1.1B 78.1.1.1C

Location: Hand and carpus, phalanx diaphyseal fracture 78.1.1.2

→ Example code for proximal thumb phalanx is indicated with an underline 78.1.1.2

Types:
Hand and carpus, phalanx, diaphyseal, Hand and carpus, phalanx, diaphyseal, Hand and carpus, phalanx, diaphyseal,
simple fracture wedge fracture multifragmentary fracture
78.1.1.2A 78.1.1.2B 78.1.1.2C

Location: Hand and carpus, phalanx, distal end segment 78.1.1.3

→ Example code for proximal thumb phalanx is indicated with an underline 78.1.1.3

Types:
Hand and carpus, phalanx, distal end segment, Hand and carpus, phalanx, distal end segment, Hand and carpus, phalanx, distal end segment,
extraarticular fracture partial articular fracture complete articular fracture
78.1.1.3A 78.1.1.3B 78.1.1.3C

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Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.
 J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 Hand and carpus

Crushed, multiple fractures 79

Hand and carpus, crush, multiple fractures hand 79

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one
qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

S88 | www.jorthotrauma.com Copyright © 2017 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US

Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.