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Home/Patient Education/Fractures/Adult Fractures/Triquetral Dorsal Chip Fracture
Fracture Care · Adult · Wrist and Hand

Triquetral Dorsal Chip Fracture

Evaluate for associated carpal or ligament injury when pain is disproportionate.

This page explains how a triquetral dorsal chip fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.

Body Region
Wrist and Hand
Age Group
Adult
Treatment
Nonoperative
Expected Bone Healing
About 4–6 weeks.

Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.

Table of Contents
What Is This Injury?

Evaluate for associated carpal or ligament injury when pain is disproportionate.

Bone Doc Tip

The chip is often less important than the injury that created it.

How Is It Treated?

This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.

Brace, Cast, Splint, or Sling

Wrist splint for comfort, commonly 2–4 weeks.

Walking or Using the Injured Limb

Use as tolerated for light activity; avoid heavy loading until pain improves.

For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.

When Does Motion Begin?

Begin wrist motion as pain permits.

Physical Therapy

Usually not required; consider therapy for persistent stiffness.

Follow-Up and Imaging

Clinical follow-up in 2–4 weeks if symptoms persist.

Recovery Timeline
Short AnswerRecovery generally moves through protection, motion, weight-bearing, strengthening, and return to activity — at a pace your surgeon sets for your specific fracture.

Every fracture moves through the same general phases, though the exact timing is different for every patient:

1
Injury or Surgery
The fracture occurs, or is surgically stabilized if your surgeon recommends fixation.
2
Early Protection
Wrist splint for comfort, commonly 2–4 weeks.
3
Begin Motion
Begin wrist motion as pain permits.
4
Progress Use / Weight Bearing
Use as tolerated for light activity; avoid heavy loading until pain improves.
5
Strengthening
Physical therapy often helps rebuild strength once your surgeon confirms it's safe to begin.
6
Return to Activity
Return to work, school, driving, and sports is guided by your surgeon as healing progresses.
Return to Activity

Work or School: Work as comfort permits with temporary lifting restriction.

Sports or High-Risk Activity: Typically 6–8 weeks when painless.

Watch For — Specific to This Injury

Persistent ulnar-sided pain, instability, neurovascular findings, or high-energy mechanism.

General Warning Signs — When to Call

  • Increasing pain that isn't controlled by your prescribed plan
  • New numbness or weakness
  • Fingers or toes that become pale, blue, cold, or very swollen
  • A cast or splint that becomes excessively tight, wet, damaged, or foul-smelling
  • New drainage, spreading redness, fever, or wound concerns

See our full When to Call page for the difference between routine office contact and emergency evaluation.

Chest pain, shortness of breath, or symptoms of a possible blood clot, or any life-threatening emergency — call 911 or go to the nearest emergency department.

Frequently Asked Questions

How long will I be in a cast, splint, or brace for a triquetral fracture?

Wrist splint for comfort, commonly 2–4 weeks.

When can I return to work, school, driving, or sports after a triquetral fracture?

Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.

Still Have Questions?

Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.

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