Uncommon Carpal Fractures

Overview

Journal Eur J Trauma Emerg Surg

Specialties Critical Care
Emergency Medicine

Date 2015 Dec 18

PMID 26676306

Citations 7

Authors

T Pan

T T Logters

J Windolf

R Kaufmann

Affiliations

Soon will be listed here.

Abstract

Fractures of the hand are frequently encountered with injuries to the phalanges and metacarpals comprising the vast majority. Fractures of the carpal bones excluding the scaphoid, however, are fairly uncommon. Despite the rarity of fractures of the remaining seven carpal bones, they can cause a disproportionate amount of morbidity from missed diagnosis due to their subtlety as well as their frequent association with significant ligamentous disruption or even other carpal bone fractures. Delayed diagnosis can result in inadequate fracture care, which places the wrist at risk of disabling sequelae. This review focuses on the current concepts of pathophysiology, diagnosis, and treatment of carpal fractures other than the scaphoid.

Citing Articles

Epidemiology of carpal fractures: is it only about the scaphoid?.

Boeddrich O, Sander A, Lustenberger T, Marzi I, Frank J, Voth M Eur J Trauma Emerg Surg. 2023; 49(3):1499-1503.

PMID: 36650282 PMC: 10229675. DOI: 10.1007/s00068-022-02213-5.

Compression Screw Fixation of Lunate Fracture: Case Report and Review of the Literature.

Qureshi H, Tadisina K, Frojo G, Xu K, Kraemer B J Wrist Surg. 2022; 11(4):358-361.

PMID: 35971466 PMC: 9375688. DOI: 10.1055/s-0041-1733878.

How to ease the fixation of carpal bones? Twenty-four lesions treated by 1,5 mm headless compression screws.

Poggetti A, Suardi C, Lauri G, Espen D, Bigazzi P, Pfanner S J Clin Orthop Trauma. 2021; 18:56-60.

PMID: 33996449 PMC: 8099553. DOI: 10.1016/j.jcot.2021.03.022.

Cone-beam computed tomography for primary investigation of wrist trauma provides a new map of fractures of carpal bones.

Krayem M, Weber Lensing C, Fornander L J Hand Surg Eur Vol. 2021; 46(6):621-625.

PMID: 33757323 PMC: 8226417. DOI: 10.1177/17531934211001730.

Trapezium fracture: a common clinical mimic of scaphoid fracture.

Gibney B, Murphy M, Ahern D, Hynes D, MacMahon P Emerg Radiol. 2019; 26(5):531-540.

PMID: 31250231 DOI: 10.1007/s10140-019-01702-2.

References

De Beer J, Hudson D . Fractures of the triquetrum. J Hand Surg Br. 1987; 12(1):52-3. DOI: 10.1016/0266-7681_87_90056-8. View

Garneti N, Tuson C . Sagittally split fracture of trapezium associated with subluxated carpo-metacarpal joint of thumb. Injury. 2004; 35(11):1172-5. DOI: 10.1016/j.injury.2003.09.004. View

van Onselen E, Karim R, Hage J, Ritt M . Prevalence and distribution of hand fractures. J Hand Surg Br. 2003; 28(5):491-5. DOI: 10.1016/s0266-7681(03)00103-7. View

Aiki H, Wada T, Yamashita T . Pisotriquetral arthrosis after triquetral malunion: a case report. J Hand Surg Am. 2006; 31(7):1157-9. DOI: 10.1016/j.jhsa.2006.05.006. View

Palmer A . Trapezial ridge fractures. J Hand Surg Am. 1981; 6(6):561-4. DOI: 10.1016/s0363-5023(81)80132-3. View

Garcia-Elias M, Rossignani P, de Retana P, Orovio de Elizaga J . Bennett's fracture combined with fracture of the trapezium. A report of three cases. J Hand Surg Br. 1993; 18(4):523-6. DOI: 10.1016/0266-7681(93)90164-b. View

Garcia-Elias M . Dorsal fractures of the triquetrum-avulsion or compression fractures?. J Hand Surg Am. 1987; 12(2):266-8. DOI: 10.1016/s0363-5023(87)80285-x. View

Marchessault J, Conti M, Baratz M . Carpal fractures in athletes excluding the scaphoid. Hand Clin. 2009; 25(3):371-88. DOI: 10.1016/j.hcl.2009.05.013. View

Hove L . Fractures of the hand. Distribution and relative incidence. Scand J Plast Reconstr Surg Hand Surg. 1993; 27(4):317-9. View

10.

Suzuki T, Nakatsuchi Y, Tateiwa Y, Tsukada A, Yotsumoto N . Osteochondral fracture of the triquetrum: a case report. J Hand Surg Am. 2002; 27(1):98-100. DOI: 10.1053/jhsu.2002.28944. View

11.

Smith D, Murray P . Avulsion fractures of the volar aspect of triquetral bone of the wrist: a subtle sign of carpal ligament injury. AJR Am J Roentgenol. 1996; 166(3):609-14. DOI: 10.2214/ajr.166.3.8623636. View

12.

Hey H, Dennis H, Chong A, Sze A, Murphy D . Prevalence of carpal fracture in Singapore. J Hand Surg Am. 2011; 36(2):278-83. DOI: 10.1016/j.jhsa.2010.11.009. View

13.

Lee S, Rathod C, Park K, Hwang J . Persistent ulnar-sided wrist pain after treatment of triquetral dorsal chip fracture: six cases related to triangular fibrocartilage complex injury. Arch Orthop Trauma Surg. 2011; 132(5):671-6. DOI: 10.1007/s00402-011-1416-0. View