Nondisplaced and stable carpal fractures can largely be treated with immobilization. Owing to the complex ligamentous network about the carpal bones, many fracture patterns are associated with carpal instability and thus require surgical fixation. CT and MRI should be used for complex fracture patterns and concerns for occult injury. Early intervention can decrease the risk of posttraumatic degenerative changes. The orthopaedic surgeon should be aware of the common fracture patterns associated with instability and how to optimally intervene.
J Am Acad Orthop Surg. 2020;28(15):e651-e661. © 2020 American Academy of Orthopaedic Surgeons