A Rare Coexistence; Scaphoid and Triquetral Fracture without Perilunate Dislocation
Hakan Koray Tosyali
Department of Orthopedics and Traumatology, Van Military Hospital, Van Askeri Hastanesi Altıntepe, Van, Turkey.
Erdem Cevik *
Department of Emergency Medicine, Van Military Hospital, Van Askeri Hastanesi Altıntepe, Van, Turkey.
Yahya Ayhan Acar
Department of Emergency Medicine, Etimesgut Military Hospital, Etimesgut Asker Hastanesi Etimesgut, Ankara, Turkey.
Banu Karakus Yilmaz
Department of Emergency Medicine, Sisli Hamidiye Etfal Research and Training Hospital, Şişli Hamidiye Etfal EAH, 19 mayıs Mah, Şişli Etfal Sok, Şişli, İstanbul, Turkey.
Demir Demirci
Department of Orthopedics and Traumatology, Van Research and Training Hospital, Van, Turkey, Van Bölge Eğitim Araştırma Hastanesi, Van, Turkey.
Tackin Ozalp
Department of Orthopedics and Traumatology, Celal Bayar University, Celal Bayar Üniversitesi, Ortopedi ve Travmatoloji Kliniği, Manisa, Turkey.
Guvenir Okcu
Department of Orthopedics and Traumatology, Celal Bayar University, Celal Bayar Üniversitesi, Ortopedi ve Travmatoloji Kliniği, Manisa, Turkey.
*Author to whom correspondence should be addressed.
Abstract
The scaphoid is the most commonly fractured carpal bone, accounting for approximately 68 % of all carpal fractures. Triquetral fractures are the second most common carpal bone fracture and are usually ligamentous avulsion fractures. The aim of this paper is to report the co-existence of scaphoid and triquetral fractures with an adult patient.
Case: A twenty one years old man was admitted to the emergency department after falling on an outstretched hand. He was complaining about a mild pain in his wrist. There was swelling and tenderness of the anatomic snuff box and ulnar aspect of wrist, decreased range of motion in flexion and extension. X-ray showed fractures at both scaphoid and triquetral bones. Computed tomography showed that proximal fracture of scaphoid and fracture at triquetral body. The scaphoid fracture was treated with internal fixation and any complication was not observed.
Conclusion: Triquetral fractures are associated with carpal instability and there is an increased risk of avascular necrosis for scaphoid fractures. Emergency physicians should be careful at wrist injuries because of accompanied unclear fractures.
Keywords: Fracture, scaphoid, triquetrum, hand