Conditions Of The Hand And Wrist

Question 1

Where will a patient with a scaphoid fracture experience pain?

Answer 1

In the anatomical snuff box, pain worsens on moving the wrist

Question 2

If a scaphoid fracture is suspected clinically, why should you treat it as a fracture before confirmation?

Answer 2

Risk of avascular necrosis, blood supply to scaphoid mostly retrograde

Question 3

What is the most common cause of a scaphoid fracture?

Answer 3

Fall onto an outstretched hand

Question 4

If a patient falls onto an extended wrist what distal radial fracture would you suspect?

Answer 4

Colle’s fracture

Question 5

If a patient falls onto the dorsum of a flexed wrist what distal radial fracture would you suspect?

Answer 5

Smith fracture

Question 6

What cutlery does a patient with a colles fracture compare to?

Answer 6

A fork (side view)

Question 7

What garden tool does a patients wrist with a smith fracture compare to?

Answer 7

A spade