Open AccessNon-union of Isolated Displaced Triquetral Body Fracture- A Case Report
Author(s) -
Mamun Al Rashid Al Rashid,
Sonia Rasoli,
Wasim Khan
Publication year - 2012
Publication title -
ortopedia, traumatologia, rehabilitacja
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.246
H-Index - 22
eISSN - 2084-4336
pISSN - 1509-3492
DOI - 10.5604/15093492.976904
Subject(s) - medicine , wrist , radiography , magnetic resonance imaging , internal fixation , wrist pain , reduction (mathematics) , surgery , scaphoid fracture , bone grafting , non union , radiology , carpal bones , geometry , mathematics
Triquetral fractures are the second most common carpal fractures. Triquetral body fractures are the less common type of triquetral fractures but they can be missed on plain radiographs and a non-union can be associated with considerable morbidity and reduction in functional activities. We report a unique case of displaced isolated triquetral body fracture that was initially missed on plain radiographs and resulted in non-union. The fracture non-union was diagnosed on magnetic resonance imaging and was treated successfully with open reduction and internal fixation using compression screws, without bone grafting, and early mobilisation of the wrist allowing a return to premorbid activity levels. To our knowledge, this has not been previously described in the literature. We advocate early clinical suspicion of triquetral fractures in patients with persistent ulnar-sided wrist pain following trauma, and early evaluation using computed tomography or magnetic resonance imaging.