Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck sign" on lateral x-ray! Here's a quick summary: • Second most common carpal bone fracture • Complications are rare but can include functional deficit and arthritis if missed • Look for the "pooping duck sign" on lateral x-ray • Mechanism: Fall onto outstretched hand or direct blow to dorsum of the hand • Exam: Swelling and tenderness just distal to distal ulna, pain with wrist flexion and extension • Possible associated injuries: Perilunate dislocation, distal radius or ulna fractures • ED Management: Pain control, immobilize • Splint: Volar • Ortho consult: No • Disposition: Discharge with orthopedic follow-up within 1 week MH/CCF/CWRU EM Res @MetroHealth_EM #Triquetral #Triquetrum #Fracture #Wrist #Carpal #Radiology #XRay #Diagnosis #Management #Orthopedics #Sports #MSK
