Most commonly injured region of upper extremity
Most commonly fractured carpals are the scaphoid (68%) and triquetrum (18%)
Carpal bone fractures commonly occur with other wrist injuri...
FOOSH or direct blow
Hyperflexion → dorsal avulsion fracture
Hyperextension → volar avulsion fracture
Hook of hamate fractures:
Associated with a forceful swing of a rac...
Prevent contamination of any lacerations overlying the area
Patients with swelling or significant pain at the wrist or hand:
Elevate extremity and apply ice
Remove jewelry, watches
Open fractures are admitted for early operative irrigation and débridement
Patients with injuries requiring surgical management (open reduction, unstable displace...
Carpal fractures may not be apparent on initial radiographs and may lead to long-term disability if not treated appropriately
Splint all suspected fractures and refer for repeat rad...
Goddard N. Carpal fractures in children. Clin Orthop Relat Res. 2005;432:73–76.
Kouris GJ, Schenck RR. (2011, Feb 3). Carpal fractures. eMedicine. Retrieved 5/13/2013 from h...
814.00 Closed fracture of carpal bone, unspecified
814.01 Closed fracture of navicular [scaphoid] bone of wrist
814.03 Closed fracture of triquetral [cuneiform] bone of wrist
814.07 Closed frac...
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