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Carpal Fractures (Excluding Scaphoid)

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Sports Injuries of the Hand and Wrist

Part of the book series: In Clinical Practice ((ICP))

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Abstract

Fractures of the carpal bones can present in isolation or as part of a more extensive ligamentous and osseous injury. When assessing a patient with a wrist injury, it is important to clinically examine the whole wrist and to look for associated injuries in every case of carpal fracture.

A high level of clinical suspicion is necessary for their diagnosis. Taking an accurate history of the injury, carrying out a clinical examination looking for the area of tenderness and obtaining appropriate radiographs and sectional imaging (CT or MRI) are required in order to make a decision on optimum management.

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Questions and Answers

Questions and Answers

  • Q1

  • An athlete presents with dorsal ulnar-sided wrist pain after a forced flexion injury. Which bone is likely to be injured caused by a ligament avulsion?

  • A

  • The triquetrum —with avulsion of the dorsal extrinsic radiolunotriquetral ligament

  • Q2

  • An athlete falls onto the palm of their hand. They have localised pain, numbness of the little finger and tenderness on little finger flexion. What have they most likely done?

  • A2

  • A fracture to the hook of hamate . A period of rest and immobilisation may be considered, but often the hook becomes a painful non-union requiring excision.

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Heras-Palou, C. (2019). Carpal Fractures (Excluding Scaphoid). In: Hayton, M., Ng, C., Funk, L., Watts, A., Walton, M. (eds) Sports Injuries of the Hand and Wrist. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-02134-4_10

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  • DOI: https://doi.org/10.1007/978-3-030-02134-4_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02133-7

  • Online ISBN: 978-3-030-02134-4

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