Fractures of Carpal Bones Other than the Scaphoid

Nixon, Matthew; Trail, I. A.

doi:10.1007/978-1-4471-6554-5_11

Cited by 2 publications

(7 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,10,11 Trapezial ridge fractures may be a result of a direct trauma to the base of the ridge (type 1) or avulsion of the transverse carpal ligament from the tip of the ridge. 6,21 Fractures of the trapezium are rare and often unrecognized and lately diagnosed. To diagnose the fracture radiographs with specific projections are necessary that clearly separate the outline of the trapezium from the radial side of the carpal bony complex.…”

Section: Discussionmentioning

confidence: 99%

The Uncommon Trapezium Fracture: A Case Series

et al. 2019

View full text Add to dashboard Cite

Background Isolated trapezium fractures are rare and account for only 1 to 5% of all carpal fractures but are still the third most common carpal fracture. Trapezium fractures are hard to detect and easily missed on standard radiographs. Trapezium fractures can be treated conservatively, as well as operatively, the best treatment is still debatable. Damage of the joint surface between the trapezium and the base of the first metacarpal or scaphoid could cause pain and restriction of movements. Therefore, it is important to diagnose and treat the fracture at early stage, so that articular congruence is guaranteed. Case description We present four cases of the uncommon trapezium fracture. All four cases are conservatively treated with good results, there was no need for operative treatment in all the cases. Literature review The literature describes the possibility to use fixation techniques, only when it is not possible to reduce the displaced fracture or the residual articular step-off is too high a fixation technique should be used. Clinical relevance Primarily, we would recommend navicular cast immobilization for 4 to 6 weeks as initial treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

The Uncommon Trapezium Fracture: A Case Series

et al. 2019

View full text Add to dashboard Cite

show abstract

“…[1][2][3] The most common triquetral fracture are volar avulsion fractures, fractures through the triquetral bone and cortical fractures of the dorsal surface of the triquetral. 3,4 These fractures are attributed to various injuries including compression by a prominent hamate through wrist hyperextension, 5 impaction by the ulnar styloid, 3 and damage to the dorsal cortex of the triquetrum associated with dorsiflexion and ulnar deviation of the wrist. 1,3,6 Dorsal cortex avulsion fractures of the triquetral most commonly occur by the transmission of force through the dorsal radiocarpal ligament (radiotriquetral) and dorsal intercarpal ligament (triquetroscaphoid).…”

Section: Introductionmentioning

confidence: 99%

“…1,3,7,8 These fractures are generally associated with forced wrist flexion. 5 Fractures through the triquetral bone are generally associated with extreme, high energy, dorsiflexion of the wrist but can be associated with extreme axial loading, causing the ulnar to impact the triquetral. 5 High energy direct blows to the wrist can also result in a triquetral bone fracture in a number of planes.…”

Section: Introductionmentioning

confidence: 99%

“…5 Fractures through the triquetral bone are generally associated with extreme, high energy, dorsiflexion of the wrist but can be associated with extreme axial loading, causing the ulnar to impact the triquetral. 5 High energy direct blows to the wrist can also result in a triquetral bone fracture in a number of planes. 5 Each of these triquetral fractures types is commonly associated with swelling and tenderness along the ulnar aspect of the wrist.…”

Section: Introductionmentioning

confidence: 99%

“…5 High energy direct blows to the wrist can also result in a triquetral bone fracture in a number of planes. 5 Each of these triquetral fractures types is commonly associated with swelling and tenderness along the ulnar aspect of the wrist. This pain is more readily elicited with the wrist in radial deviation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Triquetral fractures—a retrospective, multi-centre study of management and outcomes

Hopkins

Bowman

Preketes

et al. 2020

Australas J Plast Surg

View full text Add to dashboard Cite

Introduction: This study examines triquetral fracture data from six hospital centres between 2009 and 2018. The study focuses on elements of triquetral fracture management within these six centres, outlining common fracture patterns, the short-term and long-term outcomes and the common mechanisms of injury. To the authors’ knowledge, this is the largest cohort of triquetral fractures studied to date and outlines investigation recommendations for improved identification of these fractures. Methods: Data was obtained by reviewing the charts of patients presenting to emergency departments within the Nepean and Blue Mountains local health district of New South Wales, Australia. (Nepean Hospital ethics approval no: NBM18/805) Results: Triquetral fractures can be hard to identify with radiography and can be commonly mistaken as lunate fractures.12 Our results indicate that 18.9 per cent of patients required CT imaging to correctly diagnose triquetral fracture. Conclusion: Where there are ongoing symptoms and a high clinical suspicion of a triquetral fracture, CT may be indicated and, in future practice, may be justified as a first line imaging modality. This study also demonstrates that short arm-wrist immobilsing casts are an effective option for managing triquetral fractures.

show abstract

Fractures of Carpal Bones Other than the Scaphoid

Cited by 2 publications

References 35 publications

The Uncommon Trapezium Fracture: A Case Series

The Uncommon Trapezium Fracture: A Case Series

Triquetral fractures—a retrospective, multi-centre study of management and outcomes

Contact Info

Product

Resources

About