FIGURE 109.14 Radiographs demonstrating carpometacarpal dislocation (Courtesy of Children’s Orthopaedic Surgery Foundation.) Clinical Considerations Clinical Recognition The incidence of carpal fractures is relatively low in children, although increasing awareness has led to improved recognition In infancy, the carpals are completely cartilaginous and are nearly immune to injury They progressively ossify beginning with the capitate The scaphoid is by far the most common fractured carpal bone, with most fractures occurring in late childhood and adolescence Falls are the most frequent cause