The online version of this article (doi:10.1186/1752-1947-6-54) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
SR wrote the majority of the case report with MR writing a substantial part and being responsible for referencing and editing. GP was the lead clinician in charge of our patient, and performed the operation and follow-up. GP was also involved in the conception and editing of the case report. All authors read and approved the final manuscript.
Fractures of the body of the triquetral bone are the second most common carpal fractures, and these fractures can be missed on plain X-ray. Although non-union of triquetral body fractures is very rare, such cases are associated with considerable morbidity and reduction in functional activity.
We report the case of a 29-year-old Caucasian British man who sustained an isolated displaced triquetral body fracture that resulted in non-union, who was treated surgically. We describe an original operative management for this debilitating injury. An open reduction and internal fixation using double headed compression screws was performed, without bone grafting, and with early immobilization of the wrist.
We propose this novel approach and advocate early clinical suspicion of triquetral body fractures in patients with a history of fall on an outstretched hand and ulnar sided wrist pain. We recommend evaluation using computed tomography or magnetic resonance imaging scanning.
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Kawakami Y, Fujioka H, Kurosaka M: Treatment of non-union of a triquetral body fracture. J Hand Surg Br. 2007, 32: 717-718. CrossRef
- Isolated displaced non-union of a triquetral body fracture: a case report
- BioMed Central