Triquetrum fracture - Revision history

Rossdonaldson1: /* Management */

2019-09-18T04:47:06Z

Management

← Older revision		Revision as of 04:47, 18 September 2019
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	==Management==		==Management==
			{{General Fracture Management}}

	===Avulsion fracture===		===Avulsion fracture===
	*Wrist splint ([[Forearm volar splint]]) x1-2wks		*Wrist splint ([[Forearm volar splint]]) x1-2wks

Mholtz at 21:03, 4 July 2017

2017-07-04T21:03:09Z

← Older revision		Revision as of 21:03, 4 July 2017
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	==Background==		==Background==
	*3rd most common carpal bone injury (following scaphoid and lunate fractures)<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		*3rd most common carpal bone injury (following scaphoid and lunate fractures)<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
			*Mechanism of injury
	~~===~~Mechanism of injury~~===~~		**Avulsion fracture: Twisting motion of hand that is suddenly resisted
	*Avulsion ~~Fracture~~: Twisting motion of hand is suddenly resisted		**Body fracture: Direct trauma (commonly accompanied by lunate/perilunate dislocations)
	*Body ~~Fracture~~: Direct trauma (commonly accompanied by lunate/perilunate dislocations)

	==Clinical Features==		==Clinical Features==
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	==Evaluation==		==Evaluation==
			*Hand x-ray
			**PA - best for seeing nondisplaced fracture
			**Lateral/oblique in partial pronation - best for seeing avulsion fracture (tiny flake of bone on dorsum of triquetrum)

	[[File:Triquetrum_Fracture.jpg\|thumb\|Avulsion fracture of triquetrum]]		[[File:Triquetrum_Fracture.jpg\|thumb\|Avulsion fracture of triquetrum]]
	*Lateral/oblique in partial pronation
	**Best for seeing avulsion fracture (tiny flake of bone on dorsum of triquetrum)
	*PA
	**Best for seeing nondisplaced fracture

	==Management==		==Management==
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	===Body fracture===		===Body fracture===
	*Refer to orthopedist		*Stable: cast x 6wks
	**Stable: cast x 6wks		*Unstable (>1mm displacement): May require internal fixation
	**Unstable (>1mm displacement): May require internal fixation

	==Disposition==		==Disposition==
	*~~Outpatient~~		*Discharge with orthopedic surgery follow-up

	==See Also==		==See Also==

Rossdonaldson1: /* Background */

2016-10-16T11:55:55Z

Background

← Older revision		Revision as of 11:55, 16 October 2016
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	==Background==		==Background==
	*3rd most common carpal bone injury (following scaphoid and lunate fractures)<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>		*3rd most common carpal bone injury (following scaphoid and lunate fractures)<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	*Mechanism of injury
	**Avulsion Fracture: Twisting motion of hand is suddenly resisted		===Mechanism of injury===
	**Body Fracture: Direct trauma (commonly accompanied by lunate/perilunate dislocations)		*Avulsion Fracture: Twisting motion of hand is suddenly resisted
			*Body Fracture: Direct trauma (commonly accompanied by lunate/perilunate dislocations)

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Management */

2016-10-16T11:55:27Z

Management

← Older revision		Revision as of 11:55, 16 October 2016
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	==Management==		==Management==
	*Avulsion fracture		===Avulsion fracture===
	**Wrist splint ([[Forearm volar splint]]) x1-2wks		*Wrist splint ([[Forearm volar splint]]) x1-2wks
	*Body fracture
	**Refer to orthopedist		===Body fracture===
	***Stable: cast x 6wks		*Refer to orthopedist
	***Unstable (>1mm displacement): May require internal fixation		**Stable: cast x 6wks
			**Unstable (>1mm displacement): May require internal fixation

			==Disposition==
			*Outpatient

	==See Also==		==See Also==

Rossdonaldson1: /* References */

2016-10-16T11:54:53Z

References

← Older revision		Revision as of 11:54, 16 October 2016
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	==References==		==References==
	*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.		<references/>

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Clinical Features */

2016-10-16T11:54:40Z

Clinical Features

← Older revision		Revision as of 11:54, 16 October 2016
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	==Clinical Features==		==Clinical Features==
	*Localized tenderness over dorsum of wrist in area immediately distal to ulnar styloid		*Localized tenderness over dorsum of wrist in area immediately distal to ulnar styloid
	*Evaluate for deep branch of ulnar nerve impairment		*Evaluate for deep branch of ulnar nerve impairment<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 11:54, 16 October 2016

2016-10-16T11:54:11Z

← Older revision		Revision as of 11:54, 16 October 2016
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	==Background==		==Background==
	*3rd most common carpal bone injury (following scaphoid and lunate fractures)		*3rd most common carpal bone injury (following scaphoid and lunate fractures)<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	*Mechanism of injury		*Mechanism of injury
	**Avulsion Fracture: Twisting motion of hand is suddenly resisted		**Avulsion Fracture: Twisting motion of hand is suddenly resisted

Ted Fan: background, clinical feat update

2016-10-10T15:24:32Z

background, clinical feat update

← Older revision		Revision as of 15:24, 10 October 2016
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	==Background==		==Background==
	*~~2nd~~ most common carpal bone injury		*3rd most common carpal bone injury (following scaphoid and lunate fractures)
	*Mechanism of injury		*Mechanism of injury
	**Avulsion Fracture: Twisting motion of hand is suddenly resisted		**Avulsion Fracture: Twisting motion of hand is suddenly resisted
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	==Clinical Features==		==Clinical Features==
	*Localized tenderness over dorsum of wrist in area immediately distal to ulnar styloid		*Localized tenderness over dorsum of wrist in area immediately distal to ulnar styloid
			*Evaluate for deep branch of ulnar nerve impairment

	==Differential Diagnosis==		==Differential Diagnosis==
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	==References==		==References==
			*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T14:09:59Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 14:09, 26 July 2016
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	{{Carpal fractures}}		{{Carpal fractures}}

	==~~Diagnosis~~==		==Evaluation==
	[[File:Triquetrum_Fracture.jpg\|thumb\|Avulsion fracture of triquetrum]]		[[File:Triquetrum_Fracture.jpg\|thumb\|Avulsion fracture of triquetrum]]
	*Lateral/oblique in partial pronation		*Lateral/oblique in partial pronation

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:48:12Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Older revision		Revision as of 15:48, 22 March 2016
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	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]