Carpal fractures

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Background

  • Scaphoid fractures account for 70% of all carpal fractures
  • Ulnar nerve damage associated with fractures of hamate or pisiform
  • 50% of pisiform fracture associated with injury to distal radius or other carpal bone
  • If bone fragment seen posterior to carpus on lateral, very likely triquetrum fracture
Carpal bones
Zone of Vulnerability

Fracture Types

Carpal fractures

Evaluation

  • Evaluate Zone of Vulnerability (see picture)
AP view
Lateral view

Management

  • Based on fracture location (see individual fracture page for details)

See Also

Video

References