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Carpal Fractures

Carpal Fractures is a topic covered in the 5-Minute Emergency Consult.

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Emergency Central

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  • Most commonly injured region of upper extremity
    • Most commonly fractured carpals are the scaphoid (68%) and triquetrum (18%)
  • Carpal bone fractures commonly occur with other wrist injuries:
    • Capitate fractures along with scaphoid (scaphocapitate syndrome) sometimes occur with perilunate dislocations
    • Hamate fractures associated with injuries to 4th and 5th CMC and metacarpals concurrent with distal radius fractures


  • Fall on outstretched hand (FOOSH) with a hyperextended or hyperflexed wrist
  • Direct blow
  • Axial loading
  • Chronic use injury

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* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Carpal Fractures ID - 307601 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307601/all/Carpal_Fractures PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -