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Contents
  • The Anatomy of the Triquetrum
  • How Triquetrum Fractures Happen
  • Recognizing the Signs and Symptoms
  • Diagnosis and Treatment

Triquetrum Fractures: The Hidden Wrist Injury You Need to Know About

Triquetrum Fractures: The Hidden Wrist Injury You Need to Know About

What's the Big Deal?

Triquetrum fractures, though often overlooked, are the second most common carpal bone injury. Understanding this condition is crucial for anyone who's experienced wrist trauma.
Contents
  • The Anatomy of the Triquetrum
  • How Triquetrum Fractures Happen
  • Recognizing the Signs and Symptoms
  • Diagnosis and Treatment

The Anatomy of the Triquetrum

The triquetrum is a small, pyramid-shaped bone located on the ulnar side of the wrist. It's connected to surrounding bones by numerous ligaments, making it an integral part of wrist stability. Think of it as a tiny cornerstone in the complex architecture of your wrist.

How Triquetrum Fractures Happen

These fractures typically occur from falls onto an outstretched hand. Imagine slipping on ice and instinctively putting your hand out to break your fall - that's a common scenario for a triquetrum fracture. There are two main types: avulsion fractures (where a small piece breaks off) and body fractures (a break through the main part of the bone).
A triquetrum fracture is a break in the triquetrum bone of the wrist, often caused by falls onto an outstretched hand. It is crucial for maintaining wrist stability.

Recognizing the Signs and Symptoms

If you've fractured your triquetrum, you'll likely experience pain and swelling on the ulnar (pinky) side of your wrist. The area may be tender to touch, especially about 1-2 cm below the ulnar styloid (the bony prominence on the outside of your wrist). Moving your wrist might worsen the pain.

Diagnosis and Treatment

Diagnosing a triquetrum fracture can be tricky. X-rays are the first step, but they often miss these fractures. CT scans or MRIs may be necessary for a definitive diagnosis. Treatment usually involves immobilization with a cast or splint for 3-6 weeks, allowing the bone to heal properly.

FAQs

Is surgery necessary for triquetrum fractures?

Usually not, but it may be needed for severely displaced or complicated fractures.

How long does recovery take?

Typically 4-6 weeks, but full strength may take several months to return.

Can I prevent triquetrum fractures?

While not always preventable, strengthening wrist muscles and using proper fall techniques can help.

Will I need physical therapy after the cast comes off?

Often yes, to regain full strength and mobility in your wrist.

Can I still play sports with a triquetrum fracture?

Not initially, but most people can return to sports after proper healing and rehabilitation.

The Bottom Line

While triquetrum fractures can be painful and disruptive, with proper care and patience, most people recover fully and regain normal wrist function.
If you've experienced wrist trauma and suspect a triquetrum fracture, don't hesitate to consult with Doctronic for personalized advice and guidance.
Additional References
  1. van Onselen EB, et al. J Hand Surg Br 2003; 28:491.
  2. Urch EY, Lee SK. Clin Sports Med 2015; 34:51.
  3. Suh N, et al. J Hand Surg Am 2014; 39:785.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.