Scaphoid and Carpus Injuries

Question 1

Aetiology of Scaphoid fractures?

Answer 1

FOOSH

Question 2

Signs and symptoms of scaphoid fractures?

Answer 2

• Tenderness in anatomical snuff box

- Pain on compressing (Telescoping) the thumb metacarpal

Question 3

Investigation of scaphoid fracture?

Answer 3

• X-rays are difficult to visualise (takes 2 weeks to visualise sometimes)
• Take 4 views (AP, lateral, 2 oblique)

Question 4

Complications of scaphoid fracture?

Answer 4

• Non-union (synovial fluid inhibiting fracture healing)

- AVN of proximal pole

Question 5

Treatmnet of undisplaced scaphoid fracture?

Answer 5

Plaster for 6-12 weeks

Question 6

Treatmnet of displaced scaphoid fracture?

Answer 6

-Fixed woth compressing screw

CT to see if union has occurred

Question 7

Non-union scaphoid fracture treatmnet?

Answer 7

Screw fixation & bone grafting