Triquetral fracture - pooping duck sign

Case contributed by Matt Skalski
Diagnosis certain

Presentation

Wrist pain post trauma.

Patient Data

Age: 25 years
Gender: Male
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Info

A fragment of bone is present along the dorsal aspect of the proximal carpal row, adjacent to the dorsal cortex of the triquetrum. 

Illustration
Lateral
Lateral
Lateral
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Info

The scaphoid is outlined in yellow, the lunate in blue, and the visualised dorsal portion of the triquetrum in green. These structures combine to resemble a duck, with the avulsed triquetral fragment resembling poop from the duck, as indicated. 

Illustration
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Info

Triquetral fracture is common by virtue of the fact that the dorsal stabilising ligaments of the wrist share a common attachment site at the dorsal cortex of the triquetrum. 

Case Discussion

I don't recall where I learned the pooping duck sign, but here it is in all its glory. Enjoy. 

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