Triquetrum Fracture: Treatment for Broken Wrist

The triquetrum, one of the eight carpal bones in the wrist, is vulnerable to fracture, particularly during high-impact events; often, clinicians at the Mayo Clinic address these injuries using established protocols. A common mechanism of injury involves falls on an outstretched hand, resulting in a break that necessitates careful evaluation and a specific course of action. When considering treatment for broken triquetrum bone, options range from conservative methods such as immobilization with a cast to surgical intervention, depending on the severity and displacement of the fracture. Comprehensive management, often guided by diagnostic imaging techniques like X-rays, is crucial for optimal healing and the restoration of wrist function.

Understanding Triquetrum Fractures: A Comprehensive Overview

The wrist, a marvel of human anatomy, is composed of eight small carpal bones arranged in two rows. These bones, working in concert, allow for a remarkable range of motion and dexterity. Among these, the triquetrum, a pyramid-shaped bone located on the ulnar (pinky finger) side of the wrist, plays a crucial role in wrist stability and movement. Injuries to the carpal bones are common, and fractures of the triquetrum represent a significant proportion of these.

What is a Triquetrum Fracture?

A triquetrum fracture, simply put, is a break in the triquetrum bone. These fractures typically occur due to:

• Falls: Often involving an outstretched hand to break the fall.
• Direct Impact: Trauma directly to the wrist, such as in a car accident or during sports.

Understanding the mechanics of these injuries is the first step towards effective management.

The Importance of Early Diagnosis and Treatment

Timely and accurate diagnosis of a triquetrum fracture is paramount. Early intervention can help minimize long-term complications such as chronic wrist pain, instability, and arthritis.

The Carpal Bones and the Role of the Triquetrum

The carpal bones form the structural foundation of the wrist.

The triquetrum, located in the proximal row, articulates with the lunate, hamate, and pisiform bones.

It's a key stabilizer of the wrist, particularly during ulnar deviation (bending the wrist towards the pinky finger).

The triquetrum also serves as an attachment point for important ligaments, including the lunotriquetral ligament, further emphasizing its significance in wrist biomechanics.

Prompt and appropriate treatment, guided by a thorough understanding of the injury, is essential for restoring optimal wrist function and preventing long-term complications.

Anatomy and Biomechanics of the Triquetrum

To fully appreciate the impact of a triquetrum fracture, it's essential to understand the intricate anatomy and biomechanics of this small but vital carpal bone. The triquetrum's location and its interactions with surrounding structures play a critical role in overall wrist function.

Location and Articulation of the Triquetrum

The triquetrum, one of the eight carpal bones, resides in the proximal row on the ulnar side of the wrist. Imagine the pinky finger extending down to the wrist; the triquetrum sits directly beneath that line.

It's strategically positioned, articulating with three key structures:

• Lunate: The triquetrum articulates with the lunate bone, forming a critical joint surface that facilitates wrist motion.

• Hamate: On its distal side, the triquetrum connects with the hamate, another carpal bone in the distal row.

• Pisiform: A unique pea-shaped bone, the pisiform, sits on the palmar (palm-facing) surface of the triquetrum. Although seemingly small, the pisiform acts as an attachment point for several important tendons and contributes to wrist stability.

This strategic positioning and articulation enable the triquetrum to participate in a wide range of wrist movements, including flexion, extension, ulnar deviation, and radial deviation.

The Role of Supporting Ligaments

The stability of the wrist joint hinges not only on the bones themselves but also on a network of robust ligaments. These ligaments act as strong cables, connecting the carpal bones and limiting excessive movement.

The lunotriquetral ligament is of particular importance.

This ligament directly connects the lunate and triquetrum bones, providing crucial stability to the midcarpal joint. It prevents excessive separation or shifting between these two bones.

Damage to the lunotriquetral ligament, often occurring in conjunction with a triquetrum fracture, can lead to significant wrist instability.

Other supporting ligaments, such as the dorsal intercarpal ligament and the palmar radiocarpal ligaments, also contribute to overall wrist stability and influence the biomechanics of the triquetrum.

Disruption of Wrist Biomechanics Following Fracture

A triquetrum fracture, even a seemingly minor one, can disrupt the delicate balance of wrist biomechanics.

The altered position of the fractured bone can directly impact the smooth gliding and articulation of the carpal bones.

This disruption can lead to several consequences:

• Pain: The fracture itself, along with the altered mechanics, can cause significant pain, especially during wrist movement.

• Limited Range of Motion: The disrupted articulation can restrict the normal range of motion in the wrist, making everyday tasks difficult.

• Instability: If the fracture involves ligament damage, particularly the lunotriquetral ligament, wrist instability can result. This instability can manifest as a feeling of clicking, popping, or giving way in the wrist.

• Altered Load Distribution: The triquetrum plays a role in distributing forces across the wrist joint. A fracture can alter this distribution, potentially leading to increased stress on other carpal bones and contributing to long-term joint degeneration.

Understanding the anatomy and biomechanics of the triquetrum is paramount for accurate diagnosis and effective management of fractures affecting this critical carpal bone. Recognizing how these injuries disrupt normal wrist function can guide treatment strategies and optimize patient outcomes.

Diagnosing a Triquetrum Fracture: A Step-by-Step Approach

To accurately address a suspected triquetrum fracture, a systematic diagnostic process is essential. This process begins with a meticulous physical examination and advances to advanced imaging techniques when necessary. Understanding this diagnostic journey is crucial for ensuring timely and appropriate intervention.

Initial Assessment: The Foundation of Diagnosis

The diagnostic process commences with a thorough physical examination performed by a qualified medical professional, such as an emergency room physician, orthopedic specialist, or hand surgeon. This initial assessment is paramount in identifying potential signs and symptoms suggestive of a triquetrum fracture.

The physician will meticulously assess the patient's subjective complaints, paying close attention to the location, nature, and intensity of the wrist pain.

They will also inquire about the mechanism of injury, as understanding how the injury occurred can provide valuable clues about the type and severity of the fracture.

Evaluating Pain, Swelling, and Range of Motion

The physical examination involves a careful evaluation of the wrist for visible signs of trauma, such as swelling (edema), bruising, and any obvious deformities.

Palpation, or gentle touching, of the triquetrum bone and surrounding structures helps to pinpoint areas of tenderness, which can indicate the site of the fracture.

Assessment of the wrist's range of motion (ROM) is another critical component.

The physician will observe the patient's ability to move their wrist in various directions, noting any limitations or pain experienced during these movements.

A significant decrease in ROM or pain with specific movements can further suggest the presence of a fracture.

Imaging Techniques: Visualizing the Fracture

While the physical examination provides valuable information, imaging techniques are crucial for confirming the diagnosis and determining the specific characteristics of the triquetrum fracture.

X-Rays: The Primary Imaging Modality

X-rays are typically the first-line imaging modality used to evaluate suspected triquetrum fractures.

These readily available and relatively inexpensive imaging studies can often visualize fractures of the triquetrum bone.

Multiple X-ray views are essential to adequately visualize the carpal bones and detect subtle fractures.

Computed Tomography (CT) Scan: When More Detail is Needed

In cases where the X-rays are inconclusive or when a more detailed assessment of the fracture is required, a computed tomography (CT) scan may be ordered.

CT scans provide cross-sectional images of the wrist, allowing for a more precise evaluation of the fracture pattern, displacement, and involvement of adjacent structures.

CT scans are particularly useful for identifying complex fractures or fractures that extend into the joint space.

Magnetic Resonance Imaging (MRI): Evaluating Soft Tissue Injuries

Magnetic resonance imaging (MRI) is another valuable imaging modality that may be used in the diagnostic process.

While MRI is not always necessary to diagnose a triquetrum fracture, it is particularly useful for evaluating associated soft tissue injuries, such as ligament damage.

The lunotriquetral ligament, which connects the lunate and triquetrum bones, is particularly vulnerable to injury in association with triquetrum fractures.

MRI can also help to identify other ligamentous injuries, such as scapholunate ligament tears, which can contribute to wrist instability.

Differential Diagnosis: Ruling Out Other Possibilities

During the diagnostic process, it is crucial to consider and rule out other potential causes of wrist pain.

The differential diagnosis of triquetrum fractures includes other carpal bone fractures, sprains, strains, tendonitis, and arthritis.

A thorough history, physical examination, and appropriate imaging studies are essential for differentiating between these conditions and arriving at an accurate diagnosis.

By systematically following this step-by-step approach, medical professionals can effectively diagnose triquetrum fractures and guide appropriate treatment decisions.

Treatment Options for Triquetrum Fractures: From Splints to Surgery

Following a thorough diagnosis, the approach to treating a triquetrum fracture varies depending on the fracture's severity, stability, and associated soft tissue injuries. The primary goals of treatment are to alleviate pain, promote bone healing, restore wrist function, and prevent long-term complications. Management strategies range from conservative, non-surgical methods to more invasive surgical interventions.

Non-Surgical Management: Allowing the Body to Heal

For many triquetrum fractures, particularly stable chip fractures without significant displacement, non-surgical management is often the first line of treatment. These approaches focus on immobilizing the wrist to allow the bone to heal naturally.

Wrist Splints: Providing Support and Stability

Splints are typically indicated for minimally displaced or stable triquetrum fractures. They provide support, limit wrist movement, and reduce pain. Removable splints allow for gentle range-of-motion exercises as healing progresses, guided by a healthcare professional. Splint wearing duration varies but typically lasts for several weeks, with regular follow-up appointments to assess healing.

Casts: Ensuring Rigid Immobilization

Casts provide more rigid immobilization than splints and may be necessary for more severe or unstable fractures. A cast encases the wrist and sometimes part of the forearm, preventing any movement at the fracture site. The duration of cast immobilization is typically longer than with splints, often spanning several weeks, during which regular monitoring and radiographic imaging are performed to confirm proper healing.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Reducing Pain and Inflammation

NSAIDs, such as ibuprofen or naproxen, play a crucial role in managing pain and inflammation associated with triquetrum fractures. These medications help reduce swelling and discomfort, making the healing process more manageable. However, it's essential to use NSAIDs under medical supervision, considering potential side effects and interactions with other medications.

Pain Management: A Multifaceted Approach

Effective pain management is paramount throughout the treatment process. Besides NSAIDs, other pain relief strategies may include:

• Acetaminophen: A common over-the-counter analgesic.

• Opioid Analgesics: Reserved for more severe pain, used judiciously and for a limited duration due to potential side effects and dependency risks.

• Topical Analgesics: Creams or gels applied directly to the skin to provide localized pain relief.

Surgical Management: When Intervention is Necessary

In some cases, non-surgical treatment may not be sufficient to achieve optimal healing and restore wrist function. Surgical intervention becomes necessary when fractures are significantly displaced, unstable, or associated with ligamentous injuries.

Indications for Surgery: Identifying Cases Requiring Intervention

Surgery is generally considered when:

• The fracture is significantly displaced.
• The fracture is unstable.
• There are associated ligament injuries, such as a lunotriquetral ligament tear.
• Non-surgical treatment has failed to provide adequate healing.

Arthroscopy: A Minimally Invasive Approach

Arthroscopy involves inserting a small camera and surgical instruments through tiny incisions to visualize and treat the fracture. This minimally invasive technique is particularly useful for diagnosing and addressing associated soft tissue injuries, such as ligament tears. Arthroscopic procedures can involve removing bone fragments, repairing ligaments, or stabilizing the fracture with small implants.

Open Reduction and Internal Fixation (ORIF): Stabilizing Complex Fractures

ORIF involves making an incision to directly visualize the fracture site. The fractured bone fragments are then anatomically aligned (reduced) and held in place with internal fixation devices, such as screws or plates. ORIF is typically reserved for complex, unstable fractures that require precise reduction and rigid stabilization.

K-wires (Kirschner wires): Temporary Fixation

K-wires are thin, metallic wires that can be inserted through the skin to temporarily stabilize fracture fragments. They are often used in conjunction with other surgical techniques, such as arthroscopy or ORIF, to provide additional support during the healing process. K-wires are typically removed after several weeks once the fracture has sufficiently healed.

Lunotriquetral Ligament Repair/Reconstruction: Addressing Ligament Injuries

Triquetrum fractures are frequently associated with injuries to the lunotriquetral (LT) ligament. If the LT ligament is torn, it may require surgical repair or reconstruction to restore wrist stability. Ligament repair involves suturing the torn ends of the ligament together, while reconstruction may involve using a graft to replace the damaged ligament.

Rehabilitation: Restoring Function and Preventing Re-injury

Regardless of whether a triquetrum fracture is treated surgically or non-surgically, rehabilitation is crucial for restoring wrist function and preventing long-term complications.

Importance of Physical Therapists (PTs) and Occupational Therapists (OTs)

Physical Therapists (PTs) and Occupational Therapists (OTs) play integral roles in the rehabilitation process. PTs focus on restoring strength, range of motion, and overall function of the wrist and hand. OTs help patients regain the ability to perform daily activities and return to work or hobbies.

Therapeutic Exercise: Building Strength and Range of Motion

Therapeutic exercises are designed to gradually increase the strength and range of motion of the wrist and hand. These exercises may include:

• Range-of-motion exercises: To improve wrist flexibility.

• Strengthening exercises: Using resistance bands or weights to rebuild muscle strength.

• Grip strengthening exercises: To improve hand function.

Proprioception Training: Enhancing Wrist Awareness

Proprioception refers to the body's ability to sense its position and movement in space. Proprioception training helps improve wrist stability and coordination by enhancing the communication between the brain and the wrist. Exercises may involve balancing on unstable surfaces or performing tasks that require precise hand movements.

Activity Modification and Ergonomics: Preventing Re-injury

Activity modification involves adapting daily activities to minimize stress on the wrist during the healing process. Ergonomics focuses on optimizing the work environment and using proper techniques to reduce the risk of re-injury. This may involve:

• Adjusting workstation setup: To ensure proper wrist alignment.

• Using ergonomic tools: Such as keyboards and mice.

• Taking frequent breaks: To avoid overuse of the wrist.

By adhering to a comprehensive treatment plan that encompasses both medical and rehabilitative strategies, individuals with triquetrum fractures can optimize their chances of a full recovery and return to their pre-injury level of activity.

Potential Complications Following a Triquetrum Fracture

Following a thorough diagnosis, the approach to treating a triquetrum fracture varies depending on the fracture's severity, stability, and associated soft tissue injuries. The primary goals of treatment are to alleviate pain, promote bone healing, restore wrist function, and prevent long-term complications. Despite best efforts, complications can sometimes arise, influencing the overall recovery and long-term well-being of the patient.

Understanding these potential issues is vital for informed decision-making and proactive management. Let's delve into the most common complications.

Understanding Nonunion: When Healing Stalls

Nonunion occurs when a fractured bone fails to heal despite typical treatment efforts.

In the context of a triquetrum fracture, this means the fractured fragments do not knit together over time.

This can lead to persistent pain, instability, and reduced wrist function.

Factors contributing to nonunion include inadequate immobilization, poor blood supply to the fracture site, infection, and patient-related factors like smoking or underlying health conditions.

Management of nonunion often involves surgical intervention to promote bone healing.

This might entail bone grafting to stimulate new bone formation, internal fixation to stabilize the fracture fragments, or addressing any underlying issues hindering the healing process.

Malunion: Healing in the Wrong Position

Malunion refers to the misalignment of the fractured bone fragments during the healing process.

While the fracture does heal, it heals in a deformed or non-anatomical position.

This can lead to altered wrist biomechanics, pain, limited range of motion, and an increased risk of developing arthritis over time.

The degree of functional impairment depends on the severity of the malalignment.

Treatment options for malunion range from conservative management with pain relief and activity modification to surgical correction, depending on the symptoms and functional limitations.

Wrist Instability: The Result of Ligament Damage

The triquetrum bone is stabilized by important ligaments, most notably the lunotriquetral ligament.

Fractures of the triquetrum, particularly those involving ligamentous attachments, can lead to wrist instability.

This instability arises from damage or disruption of these supporting ligaments.

Wrist instability can manifest as pain, clicking or popping sensations, a feeling of giving way, and difficulty with weight-bearing activities.

Diagnosis often involves physical examination, stress testing, and advanced imaging like MRI to assess ligament integrity.

Treatment may range from bracing and therapy to ligament reconstruction to restore wrist stability.

Post-Traumatic Arthritis: The Long-Term Consequence

Arthritis is a progressive joint disease characterized by the breakdown of cartilage, leading to pain, stiffness, and reduced function.

Triquetrum fractures, particularly those that involve the joint surface or lead to chronic instability, can accelerate the development of post-traumatic arthritis.

This arthritis may not manifest immediately but can develop years after the initial injury.

Management of post-traumatic arthritis typically involves a combination of pain relief strategies, activity modification, physical therapy, and, in some cases, surgical interventions like joint fusion or replacement.

Early diagnosis, proper management of the initial fracture, and adherence to rehabilitation protocols are crucial to minimizing the risk and severity of these potential complications.

It's encouraging to know that even with these potential setbacks, proactive care and a collaborative approach can often lead to improved outcomes and restored function.

Understanding the Healing Process After a Triquetrum Fracture

Following a thorough diagnosis, the approach to treating a triquetrum fracture varies depending on the fracture's severity, stability, and associated soft tissue injuries. The primary goals of treatment are to alleviate pain, promote bone healing, restore wrist function, and prevent long-term complications. Understanding the phases of bone healing, typical timelines, and factors influencing recovery is crucial for both patients and healthcare providers to manage expectations and optimize treatment strategies.

The Phases of Bone Healing

Bone healing is a complex, highly regulated process that generally follows these stages:

1. Inflammation: This initial phase begins immediately after the fracture. Blood clots form at the fracture site (hematoma), and inflammatory cells clear debris. This stage typically lasts for several days. Managing inflammation appropriately, without suppressing it entirely, is important for initiating the healing cascade.

2. Soft Callus Formation: Over the next few weeks, the body begins to bridge the fracture gap with a soft callus, primarily composed of cartilage and fibrous tissue. This provides initial stability to the fracture site. Early mobilization protocols, under the guidance of a therapist, can promote callus formation by stimulating blood flow and cellular activity.

3. Hard Callus Formation: As the soft callus matures, it gradually transforms into a hard callus, made of bone. This phase involves the deposition of minerals like calcium and phosphate, increasing the strength and rigidity of the healing bone. This phase can last for several weeks to months. Adequate calcium and vitamin D intake are essential during this stage to support mineralization.

4. Remodeling: The final stage of bone healing involves the remodeling of the hard callus into mature bone tissue. This process can take months to years, as the bone adapts to the stresses placed upon it. The bone is reshaped along lines of stress, becoming stronger and more organized.

Realistic Healing Timelines

The time it takes for a triquetrum fracture to heal can vary significantly based on several factors. However, a general timeline can be outlined:

• Non-displaced fractures: These typically heal within 6-8 weeks with appropriate immobilization and rehabilitation.

• Displaced fractures: These may require surgical intervention and typically take 8-12 weeks, or longer, to heal, depending on the complexity of the fracture and the individual's response to treatment.

It's important to note that these are just estimates. Individual healing rates can vary, and close monitoring by your healthcare team is essential.

Factors Influencing Healing Speed

Several factors can influence the rate at which a triquetrum fracture heals:

• Age: Younger individuals tend to heal faster than older adults due to higher bone turnover rates.

• Overall Health: Underlying health conditions, such as diabetes or osteoporosis, can impair bone healing.

• Nutrition: A balanced diet rich in calcium, vitamin D, and protein is essential for optimal bone healing.

• Smoking: Nicotine impairs blood flow and can significantly delay bone healing.

• Fracture Severity and Type: Complex or displaced fractures typically take longer to heal than simple, non-displaced fractures.

• Adherence to Treatment: Following your doctor's instructions regarding immobilization, weight-bearing restrictions, and rehabilitation is crucial for optimal healing.

• Compliance to prescribed medication: Following the doctor's instructions and prescription for the right medication is important in healing.

• Comorbidities: Other medical conditions like diabetes, peripheral vascular disease can affect fracture healing.

Optimizing Healing Through Active Participation

While the body naturally repairs the fracture, active patient participation plays a crucial role in optimizing healing. This includes:

• Following Medical Advice: Adhering to immobilization protocols, weight-bearing restrictions, and medication regimens prescribed by your healthcare team.

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• Nutrition and Supplementation: Ensuring adequate intake of calcium, vitamin D, and protein through diet or supplements, as recommended by your doctor or a registered dietitian.

• Smoking Cessation: Quitting smoking to improve blood flow and promote bone healing.

• Rehabilitation: Engaging in a structured rehabilitation program under the guidance of a physical or occupational therapist to restore wrist function and prevent stiffness.

• Adequate rest: Resting the affected wrist is essential for healing.

• Elevation: Elevating the wrist can reduce swelling and pain.

Red Flags and When to Seek Medical Attention

While most triquetrum fractures heal uneventfully, it's crucial to be aware of potential complications and seek prompt medical attention if you experience any of the following:

• Increased Pain or Swelling: Unexplained increases in pain or swelling around the fracture site.

• Signs of Infection: Redness, warmth, or drainage from the surgical incision (if applicable).

• Numbness or Tingling: New or worsening numbness or tingling in the hand or fingers.

• Delayed Healing: Lack of progress in healing or persistent pain after the expected healing timeframe.

By understanding the phases of bone healing, realistic timelines, and factors influencing recovery, patients can actively participate in their care and optimize their chances of a successful outcome following a triquetrum fracture. Remember, consistent communication with your healthcare team and adherence to their recommendations are key to a smooth and effective recovery.

The Healthcare Team: Professionals Involved in Triquetrum Fracture Care

Following a thorough diagnosis, the approach to treating a triquetrum fracture varies depending on the fracture's severity, stability, and associated soft tissue injuries. The primary goals of treatment are to alleviate pain, promote bone healing, restore wrist function, and prevent long-term complications. Achieving these goals requires a collaborative effort from a diverse team of healthcare professionals, each with specialized expertise. Understanding the roles of each team member empowers patients to actively participate in their care and fosters realistic expectations throughout the recovery journey.

Core Specialists in Fracture Management

Orthopedic Surgeons: The Architects of Fracture Care

Orthopedic surgeons are the primary specialists overseeing the diagnosis, treatment, and rehabilitation of triquetrum fractures. Their expertise encompasses a comprehensive understanding of the musculoskeletal system, enabling them to accurately assess the fracture pattern, stability, and associated injuries.

They determine the most appropriate treatment strategy, whether it involves conservative measures like casting or splinting, or surgical intervention to restore proper alignment and stability. Their deep knowledge of bone healing and biomechanics is crucial for guiding the overall management plan.

Hand Surgeons: Masters of the Wrist

In cases involving complex wrist injuries or when surgical intervention is necessary, hand surgeons bring a specialized skill set to the table. These surgeons possess advanced training in the intricate anatomy and function of the hand and wrist.

They are adept at performing delicate surgical procedures, such as open reduction and internal fixation (ORIF) or arthroscopic interventions, to restore stability and optimize long-term outcomes. Their focus on minimizing soft tissue disruption and maximizing functional recovery makes them invaluable members of the healthcare team.

Diagnostic and Rehabilitative Pillars

Radiologists: Unveiling the Fracture

Radiologists play a crucial role in the diagnostic process, interpreting imaging studies such as X-rays, CT scans, and MRIs. Their expertise in image analysis allows them to identify the precise location and characteristics of the fracture, assess for associated soft tissue injuries, and rule out other potential causes of wrist pain.

Accurate interpretation of these images is paramount for guiding treatment decisions and monitoring fracture healing. Radiologists provide essential insights that inform the entire healthcare team.

Physical Therapists (PTs): Restoring Movement and Strength

Physical therapists (PTs) are integral to the rehabilitation phase, guiding patients through a structured exercise program to restore range of motion, strength, and function. They design individualized treatment plans based on the patient's specific needs and goals.

PTs utilize a variety of techniques, including manual therapy, therapeutic exercises, and modalities such as ultrasound or electrical stimulation, to promote healing and improve functional outcomes. Their expertise in biomechanics and movement analysis is critical for optimizing recovery.

Occupational Therapists (OTs): Regaining Daily Function

Occupational therapists (OTs) focus on helping patients regain the ability to perform daily activities and return to their prior level of function. They assess the patient's functional limitations and develop strategies to overcome these challenges.

OTs may provide adaptive equipment, teach compensatory techniques, and address ergonomic factors to facilitate independence and participation in meaningful activities. Their holistic approach considers the physical, cognitive, and psychosocial aspects of recovery.

The Power of a Multidisciplinary Approach

The successful management of a triquetrum fracture relies on the collaborative expertise of this diverse healthcare team. Effective communication and coordination among these professionals are essential for ensuring optimal patient outcomes. By understanding the unique contributions of each team member, patients can actively participate in their care and navigate the recovery process with confidence.

So, there you have it – a rundown on triquetrum fractures! Remember, if you suspect you've broken your wrist, get it checked out pronto. Early diagnosis and appropriate treatment for broken triquetrum bone, whether it's just a cast or something more involved, can make a huge difference in getting you back to full strength and pain-free movement. Take care of those wrists!