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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
Yulia Perova 
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
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Abstract

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.

Keywords

triquetral fractures - carpal instability - wrist

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

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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