Uncommon carpal fractures

Eur J Trauma Emerg Surg. 2016 Feb;42(1):15-27. doi: 10.1007/s00068-015-0618-5. Epub 2015 Dec 16.

Abstract

Fractures of the hand are frequently encountered with injuries to the phalanges and metacarpals comprising the vast majority. Fractures of the carpal bones excluding the scaphoid, however, are fairly uncommon. Despite the rarity of fractures of the remaining seven carpal bones, they can cause a disproportionate amount of morbidity from missed diagnosis due to their subtlety as well as their frequent association with significant ligamentous disruption or even other carpal bone fractures. Delayed diagnosis can result in inadequate fracture care, which places the wrist at risk of disabling sequelae. This review focuses on the current concepts of pathophysiology, diagnosis, and treatment of carpal fractures other than the scaphoid.

Keywords: Carpal anatomy; Carpal bone fractures; Carpal injury; Review article.

Publication types

  • Review

MeSH terms

  • Carpal Bones / diagnostic imaging
  • Carpal Bones / injuries*
  • Delayed Diagnosis
  • Fractures, Bone / diagnostic imaging*
  • Fractures, Bone / therapy
  • Humans
  • Radiography
  • Tomography, X-Ray Computed
  • Wrist Injuries / diagnostic imaging*
  • Wrist Injuries / therapy