Os triangulare

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Fall. Painful wrist.

Patient Data

Age: 22
Gender: Male
x-ray

Well corticated bony fragment distal to the ulna fovea, adjacent to the ulna styloid. Most consistent with an accessory ossicle - os triangulare. 

Annotated image

Annotated image thanks to Dr Ian Bickle.

Case Discussion

Accessory ossicles are an important differential diagnosis to fractures, especially in the wrist where more than 20 have been documented. 

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