Fracture of the carpal bones of the wrist, excluding those of the hamate and scaphoid
Includes Kienböck disease, a disease of the lunate where the blood supply is compromised, and pos...
Athletes usually present with a fall on the outstretched hand in the hyperextended position. However, direct trauma or a fall on a flexed wrist can also cause a fracture.
Pain and rest...
Immobilization of the wrist should eliminate the pain of the fracture.
Nonsteroidal anti-inflammatory drugs (NSAIDs) and rarely opioids can be added as needed.
There are theoretical concerns a...
Any displaced fracture of the carpal bones should be referred to an orthopedic surgeon.
Lunate fractures may develop AVN (Kienböck disease) and should be considere...
Duckworth AD, Ring D. Carpus fractures and dislocations. In: Court-Brown C, Heckman JD, McKee M, et al, eds. Rockwood and Green’s Fractures in Adults. 8th ed. Philadelphia, PA: Wo...
Frequency of fracture seen in carpal bones is scaphoid 80%, triquetrum 6%, hamate 5%, trapezium 4%, lunate 3%, capitate 1%, and trapezoid and pisiform, <1% each.
Dorsal rim chips of ...
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