A rare case of an isolated triquetrum body fracture in a 14-year-old boy

Horras, Nikolaus; Barthlen, Winfried; Wildbrett, Peer

doi:10.4103/0189-6725.99405

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…These fractures may result in pisiform instability or pisotriquetral arthritis [22•, 23]. While triquetral body fractures are typically associated with another injury, isolated triquetral body fractures can occasionally occur [24]. Displaced triquetral body fractures have been reported and the underlying cause of the fractures was a fall onto an outstretched hand with the wrist in extension [25,26].…”

Section: Pathophysiologymentioning

confidence: 99%

Triquetral Fractures Overview

Guo

Cardenas

2021

Curr Rev Musculoskelet Med

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Purpose of ReviewThe triquetrum is the second most commonly fractured carpal bone, comprising 15-18% of all carpal bone fractures. This review summarizes the current knowledge of triquetral fractures, including the anatomy and pathophysiology, evaluation and diagnosis, treatment and management, post-treatment outcomes, and complications. Recent Findings Triquetral fractures are frequently caused by impaction of the ulnar wrist after a fall on an outstretched hand or by avulsion of attached ligaments. There are three main types of triquetral fractures: dorsal cortical fractures, triquetral body fractures, and volar cortical fractures. Dorsal cortical fractures are the most common and are usually benign, while volar cortical fractures are the least common and can be problematic. Nonsurgical management is indicated for most triquetral fractures, which usually results in good outcomes. Surgical treatment is indicated for fractures with significant displacement or evidence of instability. Complications of triquetral fractures include non-union, triangular fibrocartilage complex injury, and pisotriquetral arthritis. Summary While less common than scaphoid fractures, triquetral fractures should remain in the differential diagnosis for patients with ulnar-sided wrist pain after falling on an outstretched hand. Most triquetral fractures can be treated with immobilization, though they should be thoroughly evaluated due to their potential to result in instability, loss of motion, and arthrosis. Further research is needed to determine the best method of surgical treatment.

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Section: Pathophysiologymentioning

confidence: 99%

Triquetral Fractures Overview

Guo

Cardenas

2021

Curr Rev Musculoskelet Med

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Frakturen der Handwurzel beim Kind

Singer¹,

Schmidt²,

Weinberg³

et al. 2020

Orthopädie Und Unfallchirurgie

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Delayed union of a pediatric lunate fracture in the United Kingdom: a case report and a review of current concepts of non-scaphoid pediatric carpal fractures

Davis,

Headon,

Morgan

et al. 2023

J Trauma Inj

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Pediatric carpal fractures are rare and often difficult to detect. This paper reviews the current literature on pediatric non-scaphoid carpal fractures, with a case report of a lunate fracture associated with a distal radius and ulnar styloid fracture, managed nonoperatively in a 12-year-old boy. There is lack of consensus regarding the management of these fractures due to the low number of reported cases. A frequent lack of long-term follow-up limits our understanding of the outcomes, but good outcomes have been reported for both nonoperative and operative management. This case report brings attention to the current time period for the definition of delayed union in pediatric carpal fractures, and emphasizes the need for prolonged follow-up for the detection of delayed complications leading to functional impairment.

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A rare case of an isolated triquetrum body fracture in a 14-year-old boy

Cited by 4 publications

References 7 publications

Triquetral Fractures Overview

Triquetral Fractures Overview

Frakturen der Handwurzel beim Kind

Delayed union of a pediatric lunate fracture in the United Kingdom: a case report and a review of current concepts of non-scaphoid pediatric carpal fractures

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