2. 20 YOM presents with left
wrist pain. Pt was playing
baseball. He was sliding
into second base head first
and when his left hand
impacted the base he had
immediate pain. He is able
to move his wrist but has
moderate pain. There is
swelling over the dorsal
surface of his wrist.
T 98.7 P 102 BP 126/84 O2
99%
Gen: WDWN, obvious pain
CV: Tachycardic, RR, no
m/r/g
Pulm: Lungs CTA bilat
Musc: L wrist swelling over
the dorsal surface; TTP just
distal to the ulnar styloid
process; limited ROM 2/2
pain
5. Pain Control
Reduction/Stabilization
Splinting of the wrist with volar splint for 4-6 weeks
Orthopedic surgery follow up for re-evaluation and
possible ORIF for displaced triquetral body fractures
(associated with significant ligamentous injury)
6. Second most common fracture of the carpal bones
Results from either direct blow on dorsal surface or fall
on outstretched hand (FOOSH, believed to impact the
triquetrum against the ulnar styloid process)
May be difficult to identify. May only be visualized as a
small fleck on the lateral view