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Carpal Fractures
From WikiSM
Contents
Carpal Fractures
- Scaphoid Fracture
- Lunate Fracture
- Triquetrum Fracture
- Pisiform Fracture
- Trapezium Fracture
- Trapezoid Fracture
- Capitate Fracture
- Hamate Fracture
Anatomy
Background
- Overall, scaphoid fractures account for 70% of carpal fractures[1]
- #2 is Triquetrum
- #3 is Trapezium
- Fractures to the first carpal role are more common: scaphoid, lunate, triquetrum, pisiform
Clinical Features
General: Physical Exam Wrist
Differential Diagnosis
- Fractures
- Dislocations
- Instability & Degenerative
- Tendinopathies & Ligaments
- Neuropathies
- Pediatric Considerations
- Distal Radial Epiphysitis (Gymnast's Wrist)
- Torus Fracture
- Arthropathies
- Cartilage
- Vascular
- Other
Evaluation
Radiographs
- Standard Radiographs Wrist
- 3 views initially
- Carpal Tunnel View
CT Scan
- Help delineate fracture pattern, surgical planning
MRI
- Evaluate for occult fractures, soft tissue injuries as well
See Also
- Internal
- External
- Sports Medicine Review Wrist Pain: https://www.sportsmedreview.com/by-joint/wrist/
References
- ↑ Pointu J, Schwenck JP, Destree G, Sejourne P. [Fractures of the trapezium: mechanisms, anatomo-pathology and therapeutic indications]. Rev Chir Orthop Reparatrice Appar Motil. 1988;74(5):454e465.