Carpal Fractures

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

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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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