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Ipsilateral carpal, metacarpal, and ankle fractures resulting from an attempted basketball slam-dunk

A case report

Department of Orthopaedic Surgery, Harlem Hospital Center, New York, New York

Donald C. Fithian, MD

New York Orthopaedic Hospital, Columbia University College of Physicians and Surgeons, New York, New York

A 23-year-old male recreational basketball player sus tained an open ankle fracture and ipsilateral carpal and metacarpal fractures as a result of a fall while attempt ing a slam-dunk. The wrist and hand fractures were treated nonoperatively. The open ankle fracture re quired irrigation, debridement, and open reduction/in ternal fixation. In addition to the prerequisite leaping ability, long-term success in "playing above the rim" requires experience, exceptional physical agility, and the mental discipline to anticipate and avoid slam-dunk opportunities with high risk for personal injury.