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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Triquetral Fractures - Dorsal Chip and Body Fractures

Carpal Fractures

A 32-year-old man presents after falling onto an outstretched hand during a football match. He has tenderness localised to the dorsal ulnar aspect of his wrist, just distal to the ulnar styloid. PA wrist radiograph appears normal but a lateral view shows a small bony fragment dorsal to the proximal carpal row. Regarding triquetral fractures:

Mark each as TRUE or FALSE

A

The triquetrum is the second most commonly fractured carpal bone after the scaphoid; dorsal cortical...

B

The mechanism of dorsal chip fractures involves either direct impingement of the hamate or ulnar sty...

C

Dorsal chip fractures of the triquetrum always require surgical fixation; they have a high rate of n...

D

Treatment of isolated dorsal chip fractures is typically conservative with short-arm cast or splint ...

E

For this patient with dorsal chip fracture and localised tenderness, appropriate management includes...

Answer the questions to see explanations

Click T (True) or F (False) for each option