CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(01): e003-e009
DOI: 10.1055/s-0043-1769599
Original Article

Triquetral Fractures: Bibliographical Review about Four Clinical Cases

Article in several languages: español | English
1   Medicina Familiar y Comunitaria, Centro de Salud Teruel Centro, Teruel
Ángel Castro Sauras
2   Servicio de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel
Justo Manuel Villalba Garcia
3   FEA Servicio de Urgencias, Hospital Obispo Polanco, Teruel
Sandra Rodríguez Martínez
4   Medicina Familiar y Comunitaria, Centro de Salud Ensanche, Teruel
Miguel Ranera García
5   FEA Servicio de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel
María Royo Agustín
5   FEA Servicio de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel
› Author Affiliations


Triquetral, or pyramidal, bone fractures are the second most common carpal fracture after scaphoid fractures. They usually result from bone impaction after extension trauma and ulnar deviation of the wrist. These fractures are classified into three groups: triquetral dorsal cortical, body, and volar cortical fractures. The late diagnosis of these injuries is not uncommon since they may go unnoticed during care at the Emergency Services. The early performance of additional radiological tests, such as computed tomography (CT), may avoid late diagnoses. Classically, these fractures have a good prognosis, and their treatment is immobilization. However, magnetic resonance imaging (MRI) can help the diagnosis of associated lesions in cases of poor evolution. The recent literature discusses the different types of surgical procedures available depending on the presence of carpal instability, fibrous pseudoarthrosis, triangular fibrocartilage complex injuries, pisotriquetral arthrosis, etc. The objectives of this study are to compare clinical cases in two distinct profiles of patients presenting the same injury but different evolution and to carry out a complete review on the subject, providing additional information on some triquetral fracture complications.

Authorization Letter

All authors declare this paper was not published in other communication media.

Publication History

Received: 30 May 2022

Accepted: 03 May 2023

Article published online:
07 June 2023

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