Original Communications
Osteochondral fracture of the triquetrum: A case report*,**

https://doi.org/10.1053/jhsu.2002.28944Get rights and content

Abstract

A case of osteochondral fracture of the triquetrum associated with pisiform subluxation in a 21-year-old woman is described. The fracture was diagnosed by tomography and magnetic resonance imaging. We consider that the fracture resulted from shear force produced by the pisifom subluxation. Excision of the pisiform provided complete relief of pain and a good functional result. (J Hand Surg 2002;27A:98-100. Copyright © 2002 by the American Society for Surgery of the Hand.)

Section snippets

Case report

A 21-year-old woman fell on the outstretched hand while snowboarding. She was seen at the hospital 2 days after the injury. She complained of pain at the volar ulnar aspect of the left wrist. Physical examination revealed pisiform instability, and a click was detected by grinding the pisiform against the triquetrum. Wrist motion was decreased as a result of the pain. Flexor carpi ulnaris, ulnar artery, and ulnar nerve functions were intact. A radiograph was suggestive of a triquetrum fracture

Discussion

Triquetrum fractures are the second most common group of carpal bone fractures. There are 2 types of triquetral fractures: dorsal chip fractures are commonly caused by the ulnar styloid, and body fractures result from excessive force to the wrist.2, 3, 4, 5, 6 Osteochondral fractures of the triquetrum are rare. Pevny and Rayan7 described a 17-year-old adolescent boy who was injured while playing volleyball. Maeda and Takatsu8 reported a 17-year-old adolescent boy who fell on the hand while

References (13)

There are more references available in the full text version of this article.

Cited by (0)

*

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

**

Reprint requests: Takashi Suzuki, MD, Department of Orthopaedic Surgery, National Nagano Hospital, 1-27-21 Midorigaoka, Ueda City, 386-8610, Japan.

View full text