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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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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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  1. Auffray Y. Les fractures du pyramidal. Acta Othop Belg. 1970;36:313–45.

    CAS  Google Scholar 

  2. Borgeskov S, Christiansen B, Kjaer A, et al. Fractures of the carpal bones. Acta Orthop Scand. 1966;37:276–87.

    Article  CAS  Google Scholar 

  3. Dunn AW. Fractures and dislocations of the carpus. Surg Clin North Am. 1972;52:1513–38.

    Article  CAS  Google Scholar 

  4. Fenton RL. The naviculo-capitate fracture syndrome. J Bone Joint Surg Am. 1956;38:681–4.

    Article  Google Scholar 

  5. Franz A. Contributto allo studio de la frattura isolate dell’uncinato. Chir Org Mov. 1952;37:487–95.

    Google Scholar 

  6. Garcia-Elias M. Carpal bone fractures. In: Watson HK, Weinzweig J, editors. The wrist. Philadelphia: Lippincott, Williams & Wilkins; 2001.

    Google Scholar 

  7. Hey HWD, Alphonsus CKS, Diarmuid M. Prevalence of carpal fracture in Singapore. J Hand Surg. 2011;36A:278–83.

    Google Scholar 

  8. Nakul K, Heras-Palou C. Trapezoid fractures: report of 11 cases. J Hand Surg. 2012;37(A):1159–62.

    Google Scholar 

  9. Snodgrass LE. Fractures of the carpal bones. J Hand Surg [Am]. 1937;38:539–48.

    Google Scholar 

  10. Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am. 2010;35(11):1887–9.

    Article  Google Scholar 

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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.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02133-7

  • Online ISBN: 978-3-030-02134-4

  • eBook Packages: MedicineMedicine (R0)

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