Lunate Fractures: The Hidden Wrist Injury You Need to Know About
Published: Jun 11, 2024
Lunate fractures are a rare but potentially serious wrist injury that can have long-lasting consequences if not properly diagnosed and treated. Understanding this condition is crucial for anyone who's had a wrist injury.
Contents
What Exactly is a Lunate Fracture?
A lunate fracture is a break in one of the small bones in your wrist called the lunate. This crescent-shaped bone plays a crucial role in wrist movement. Imagine the lunate as the keystone in an arch - when it's damaged, the whole structure becomes unstable.
How Does It Happen?
Lunate fractures typically occur from falling on an outstretched hand or a direct blow to the wrist. They're especially common in high-impact sports and activities. Think of your wrist as a shock absorber - in a fall, the lunate takes a lot of that force.

Spotting the Signs
Symptoms of a lunate fracture include wrist pain, swelling, and difficulty moving the wrist. The pain is often centered in the middle of the wrist. However, these symptoms can be subtle, making diagnosis tricky. It's like having a pebble in your shoe - you know something's wrong, but it's hard to pinpoint exactly what.
Diagnosis and Treatment
Diagnosing a lunate fracture often requires special imaging tests like CT scans or MRIs, as they can be hard to spot on regular X-rays. Treatment depends on the severity of the fracture but may include casting or surgery. Think of it like fixing a crack in a foundation - it needs to be done right to prevent future problems.
Frequently Asked Questions
They represent about 4% of all carpal bone injuries.
Some minor fractures can, but many require medical intervention.
It can take 6-12 weeks or longer, depending on severity.
Untreated fractures can lead to chronic pain and arthritis.
Wrist guards in high-risk activities can help reduce risk.
The Bottom Line
While lunate fractures are uncommon, recognizing their signs and seeking prompt treatment is crucial for maintaining long-term wrist health and function.
References
- van Onselen EB, Karim RB, Hage JJ, Ritt MJ. Prevalence and distribution of hand fractures. J Hand Surg Br 2003; 28:491.
- Welling RD, Jacobson JA, Jamadar DA, et al. MDCT and radiography of wrist fractures: radiographic sensitivity and fracture patterns. AJR Am J Roentgenol 2008; 190:10.
- Balci A, Basara I, Γekdemir EY, et al. Wrist fractures: sensitivity of radiography, prevalence, and patterns in MDCT. Emerg Radiol 2015; 22:251.
- Hey HW, Chong AK, Murphy D. Prevalence of carpal fracture in Singapore. J Hand Surg Am 2011; 36:278.
- Sawardeker PJ, Baratz ME. Carpal injuries. In: DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice, 4th ed, Miller MD, Thompson SR (Eds), Saunders Elsevier, Philadelphia 2015.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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