Uncommon carpal fractures

Area of Science:

• Orthopedic Surgery
• Hand and Wrist Injuries
• Radiology

Background:

• Hand fractures are common, with phalangeal and metacarpal injuries being most frequent.
• Fractures of the carpal bones, excluding the scaphoid, are rare but often overlooked.
• These uncommon fractures can cause substantial morbidity due to subtle presentation and associated injuries.

Purpose of the Study:

• To review current concepts in the pathophysiology of carpal bone fractures (excluding scaphoid).
• To discuss diagnostic challenges and strategies for these rare fractures.
• To outline current treatment approaches for non-scaphoid carpal bone fractures.

Main Methods:

• Literature review focusing on pathophysiology, diagnosis, and treatment.
• Analysis of current concepts and clinical evidence.
• Synthesis of information on rare carpal bone injuries.

Main Results:

• Carpal fractures, excluding the scaphoid, are uncommon but can result in significant morbidity.
• Missed diagnoses are frequent due to subtlety and associated injuries.
• Delayed treatment increases the risk of disabling wrist sequelae.

Conclusions:

• Accurate and timely diagnosis of non-scaphoid carpal fractures is essential.
• Understanding pathophysiology aids in diagnosis and management.
• Appropriate fracture care prevents long-term wrist dysfunction.