Gilula’s Carpal Arcs

Third carpal arch

Gilula’s carpal arcs are used to determine carpal alignment. They can assist in identifying ligamentous injury, dislocations and fractures of the carpus on X-ray. They are of used in the sometimes difficult to interpret x-rays of the carpal bones. As we will see below, the carpal arcs act similarly to the raised fat pad sign(sail…

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