Fractures of carpal bones other than scaphoid: epidemiology, methods and results of treatment.
DOI:
https://doi.org/10.21164/pomjlifesci.1082Słowa kluczowe:
carpal bone fractures, diagnosis, conservative treatment, operative treatmentAbstrakt
Introduction: Fractures of the carpal bones are rare compared to fractures of the metacarpals and phalanges. The triquetrum and scaphoid are the most frequently involved, and the other bones injuries are less common.
The aim of the study was to analyze the incidence of carpal fractures other than the scaphoid bone, methods and results of their treatment.
Materials and methods: Between 2021 and 2023, 35 patients, 25 men (71%) and 10 women (29%), at the mean age of 49 years, with isolated fractures of the carpal bones other than the scaphoid, were treated at the author’s institution. Fractures of the triquetrum was the most commonly seen – 25 cases (71%), followed by the hamate bone – 6 cases (17%). Most fractures were treated conservatively with wrist immobilization for 5 weeks. Six patients (17%) required surgical treatment, most of them with the hamate fractures.
Results: In a telephone interview at a mean of 16 months post-treatment, 31 patients (88%) had no symptoms in an affected wrist, and 32 (91%) rated the hand as fully functional, the same as before the injury. Three patients who assessed their hands as less functional, had accompanying injuries: distal radial fracture, fracture of the base of the first metacarpal bone, and metacarpo-phalangeal joints dislocation. All of these injuries required surgical treatment.
Conclusions: Fractures of the carpal bones other than the scaphoid are moderately common, their treatment is mostly conservative, and the results of treatment, both conservative and surgical, are good.
Bibliografia
Żyluk A. Złamania innych kości nadgarstka. In: Żyluk A, editor. Chirurgia reki. Warszawa: Medipage; 2017. p. 382-98.
Laugharne E, Bhavsar D, Rajaratnam V. The distribution of hand fractures: a British perspective. Eur J Plast Surg 2013;36:367-70.
Pan T, Logters TT, Windolf J, Kaufmann R. Uncommon carpal fractures. Eur J Trauma Emerg Surg 2016;42:15-27.
Boeddrich O, Sander AL, Lustenberger T, Marzi I, Frank J, Voth M, et al. Epidemiology of carpal fractures: is it only about the scaphoid? Eur J Trauma Emerg Surg 2023;49:1499-503.
Guo RC, Cardenas JM, Wu CH. Triquetral fractures overview. Curr Rev Musculoskelet Med 2021;14(2):101-6.
Price MB, Vanorny D, Mitchell S, Wu CH. Hamate body fractures: a comprehensive review of the literature. Curr Rev Musculoskelet Med 2021;4(6):475-84.
Mouzopoulos G, Vlachos C, Karantzalis L, Vlachos K. Fractures of hamate: a clinical overview. Musculoskelet Surg 2019;103(1):15-21.
Żyluk A, Szlosser Z. Fracture of the body of the hamate bone with associated dislocation in the fourth carpo-metacarpal joint: a case report. Pomeranian J Life Sci 2021;67(2):34-6.
Kadar A, Bishop AT, Suchyta MA, Moran SL. Diagnosis and management of hook of hamate fractures. J Hand Surg Eur 2018;43(5):539-45.
Kadar A, Morsy M, Sur YJ, Akdag O, Moran SL. Capitate fractures: a review of 53 patients. J Hand Surg Am 2016;41(10):e359-66.
Gibney B, Murphy MC, Ahern DP, Hynes D, MacMahon PJ. Trapezium fracture: a common clinical mimic of scaphoid fracture. Emerg Radiol 2019;26(5):531-40.
Walker JL, Greene TL, Lunseth PA. Fractures of the body of the trapezium. J Orthop Trauma 1988;2(1):22-8.
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Prawa autorskie (c) 2026 Andrzej Żyluk
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