Capitate fractures: a long-term follow-up.

Capitate fractures are serious carpal injuries that sould be treated as aggressively as scaphoid fractures, with anatomic reduction obtained by open techniques if necessary and by immobilization until the fracture has united. Thus treated, even a capitate proximal pole, free of soft tissue attachments will heal. Anatomic reduction is required for restoration of carpal kinematics. Even with optimal treatment, some posttraumatic carpal arthrosis may be found with long-term follow-up investigations.