A fracture is defined as soft-tissue injury where integrity of a bone is affected. Our wrist consists of eight bones, two transverse rows, and forearm bones joining to carpal bones. Our forearm bones are called ‘Radius’ and ‘Ulna’. Radius is located on the side of the thumb while Ulna is located on the side of fifth finger. The perfect harmony of forearm bones and carpal bones ensures a smooth function of the wrist with complex movements.
The most common carpal fracture occurs on the upper end of the Radius. Such fractures are usually caused by falling on an opened hand. Most of carpal fractures are repaired by plaster following correction maneuvers by outside forces. It is best to perform these correction maneuvers with delivery of a sedative to prevent patients from feeling pain. In case of a fracture line extending to carpal joint and multipart fractures, close methods may be insufficient for proper alignment of fracture. This will cause calcification presenting with pain and limitation in carpal movements. The problems that might arise in the future can be prevented by surgical correction and fixation of the fracture by your doctor.
The most common fracture of small carpal bones occurs in the “Scaphoid” bone. Insufficient blood supply to this bone leads to fusion problems. Disregard of complaints following a carpal trauma and failure to make diagnosis might lead to non-fusion of fracture in the scaphoid bone in the future. This might not cause complaints in some individuals but usually results in pain and limited movements of the wrist. Treatment is surgically supporting the fracture with fresh bone grafts and fixation by various screws.