Wrist fractures

• Pronator quadratus fat stripe – indirect evidence of an occult distal radius fracture
• Splint, f/u in one week for reexamination/re-imaging

Carpal fractures

Scaphoid

• Most common
• At risk for avascular necrosis
• Often occult – pain w/ axial loading of thumb, snuffbox tenderness

Triquetral

• 2nd most common
• Easy to miss dorsal speck of bone on lateral view of hand
• Reason to look at your own films