Conservative management of triquetral tractures: 4 Case Series

Background: Pyramidal (triquetral) bone fractures are the second most frequent carpal injuries but are often underdiagnosed due to nonspecific presentation and low radiographic sensitivity. Methods: We conducted a retrospective case series of four adult patients with non-displaced dorsal triquetral fractures confirmed by lateral wrist radiographs. All were treated conservatively with immobilization and physiotherapy. Clinical outcomes and radiographic healing were assessed over a minimum follow-up of 10 weeks. Results: All patients achieved complete fracture healing, full recovery of wrist function, and absence of pain or instability. No complications or surgical interventions were required. Conclusion: Conservative treatment is a safe and effective approach for stable dorsal triquetral fractures. Accurate diagnosis relies on clinical suspicion and appropriate imaging. Early recognition and immobilization contribute to favorable outcomes. Further studies are needed to establish standardized management protocols. Keywords: Triquetral fractures, carpal fractures.