Shah Munir A., Viegas Steven F. Fractures of the carpal bones excluding the scaphoid

Journal of the american society for surgery of the hand, vol. 2,No. 3,August 2002. - P. 129 -140. Carpal fractures excluding the scaphoid can cause morbidity that is disproportionate
to their incidence because they are easily overlooked and are often
harbingers of a wider wrist injury. Failure to recognize a more global injury
pattern can result in undertreatment and permanent wrist dysfunction. Diagnosis
requires a high index of suspicion,familiarity with carpal topography to guide
the physical examination,and judicious use of specialized radiographic views and
ancillary imaging techniques.