Uncommon carpal fractures

Pan, Tao; Lögters, Tim; Windolf, Joachim; Kaufmann, Robert W.

doi:10.1007/s00068-015-0618-5

Cited by 15 publications

(9 citation statements)

References 84 publications

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“…Our study adds information on the existence of isolated lunate fractures, which comprised 8% of the carpal fractures found during the CBCT period. Lunate fractures without joint subluxation can often be treated with a plaster cast, but require radiological follow-up, because of the risk for non-union (see scaphoid fractures) ( Pan et al., 2016 ).…”

Section: Discussionmentioning

confidence: 99%

“…Plain radiography reveals approximately 75% of distal radius fractures ( Balci et al., 2015 ) and 70% or less, of scaphoid fractures ( Balci et al., 2015 ; Blum et al., 2007 ; Jørgsholm et al., 2013 ). Fractures of other carpal bones are also often not diagnosed, but have gained less interest in the literature and in clinical practice, although most of these fractures require non-surgical or surgical treatment to avoid morbidity and disabling sequelae ( Pan et al., 2016 ).…”

Section: Introductionmentioning

confidence: 99%

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Cone-beam computed tomography for primary investigation of wrist trauma provides a new map of fractures of carpal bones

Krayem

Lensing

Fornander

2021

J Hand Surg Eur Vol

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In 2016, our primary modality for radiological examination of wrist trauma, was changed from radiography to cone-beam computed tomography (CBCT). This is a retrospective survey of carpal bone fractures detected by CBCT during 6 months in 2016/2017, compared with those found on conventional radiographs during 6 months in 2013/2014. The incidence of carpal fractures was three times higher during the CBCT period (92/100,000 per year) compared with the radiography period (29/100,000 per year) and the spectrum of anatomical locations was different between the two periods, with fractures of the lunate ( n = 6), trapezium ( n = 9), trapezoid ( n = 4) and capitate ( n = 1) detected by CBCT, in contrast to no fractures of these bones diagnosed during the 6 months radiography period. We suggest a more liberal use of CBCT for examination of wrist trauma considering the benefits of being able to give patients a correct primary diagnosis, treatment and prognosis. Level of evidence: III

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cone-beam computed tomography for primary investigation of wrist trauma provides a new map of fractures of carpal bones

Krayem

Lensing

Fornander

2021

J Hand Surg Eur Vol

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“…The triquetrum is almost a pyramid-shaped carpal bone that articulates distally with the hamate bone, proximally with the Triangular Fibro-Cartilage Complex (TFCC) without attaching the ulna and its palmar surface has an almost completely circular articulation with the pisiform [ 13 ]. The Dorsal Radiocarpal (DRC) and Dorsal Intercarpal (DIC) ligaments, forming the “diagonal V”, are the principal capsular restraints on the dorsal side of the proximal carpus [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Becce et al [ 14 ] recently reported the MRI findings on 6 different triquetrum fracture patterns; the incidence of dorsal carpal ligament tearing was DRC: in 66,7% of cases, DIC in 76,2% of cases, and tears of the UlnoTriquetral ligaments in 81,0%. As an isolated fracture, it is the second most common carpal bone fracture after scaphoid and can also occur during athletic activities (volleyball, football, snowboarding) or bicycling as in our case [ 1 , 7 - 9 , 13 ,].…”

Section: Discussionmentioning

confidence: 99%

Intra-articular Fracture of the Distal part of the Triquetrum within the Pisotriquetral Joint: Case Report and Review of Literature

Athanasiou¹,

Panagopoulos²,

Iliopoulos³

et al. 2018

TOORTHJ

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Background:Intra-articular fractures of the distal part of the triquetrum within the pisotriquetral joint are uncommon, and can be associated with tears of the dorsal carpal ligaments, pisiform subluxation and/or FCU dislocation. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination including oblique wrist x-rays, computed tomography and MRI scan. These fractures can be delayed diagnosed due to late presentation thus leading to painful nonunion, persistent instability and late pisotriquetral arthritis.Case Report:We present a case of a 40-year-old male who complained about ulnarsided wrist pain after a fall on his extended wrist during bicycling. The diagnosis of triquetrum fracture was suspected on clinical examination and confirmed using standard and oblique radiographs and CT scan evaluation. He was immobilized in a short-arm cast for 6 weeks followed by a progressive return to wrist motion and subsequent strengthening for another 5 weeks. He reported complete resolution of pain and excellent wrist motion and function one year after the injury, demonstrating a Mayo score of 100.Conclusion:Isolated intra-articular fractures of the triquetrum within the pisotriquetral joint are rare injuries and may constitute a subcategory of body fractures other than the dorsal cortical (chip), main body and volar lip avulsion fractures. Early clinical suspicion and proper imagine can lead to a successful outcome.

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“…Most fractures are only visible on CT scan, which is recommended in these cases. Diagnostic approach and fracture-specific treatment option are shown by the review of Pan et al [3]. Injuries of the TFCC in the ulnar compartment of the wrist may influence the stability of the distal radioulnar joint (DRUJ).…”

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confidence: 99%