How to Manage Triquetrum and Hamate Fractures in Unusual Patterns: A Case Report

Authors: VUSLAT SEMA ÜNAL, FUAD ÖKEN, ÖZGÜR YILDIRIM, MURAT GÜLCEK, ZAFER SOYDAN, AHMET UÇANER

Abstract: The 3-dimensional alignment of the carpal bones should be intact to ensure functional integrity of the hand. The treatment of fractures of the carpal bones is challenging and may differ according to localization. A patient with closed carpal injury and his treatment are presented in this report. After his wrist was crushed between a smooth hammer and a workbench during an occupational accident, the patient had multiple carpal bone fractures and remarkable swelling. The type of the injury was regarded to be a sort of capitate-hamate diastasis, although it did not correspond to any type that had been previously described. The clinical result was good, and the patient completely recovered.

Keywords: Carpal injury, hamate fracture, triquetrum fracture, carpal fractures

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