scaphoid fracture Flashcards
1
Q
blood supply to scaphoid
A
dorsal capsule branch (branch of radial artery) in a retrograde manner
2
Q
interruption of blood supply to scaphoid
A
risks avascular necrosis of scaphoid
3
Q
causes
A
FOOSH
contact sportd
4
Q
symptoms
A
pain along radial aspect wrist + base of thumb
loss of grip/pinch strength
5
Q
signs
A
- tenderness anatomical snuffbox
- wrist joint effusion
- pain on telescoping thumb
- tenderness of scaphoid tubercle
- pain on ulnar deviation wrist
6
Q
first Ix
A
plain film radiographs
anterior-posterior view and lateral veiws
7
Q
initial Mx
A
immobilisise with futuro splint or standard below-elbow backslab
orthopaedic referral
8
Q
ortho Mx - undisplaced fracture of scaphoid wrist
A
cast for 6-8wjs
9
Q
ortho Mx - displaced scaphoid wrist #
A
surgical fixation
10
Q
ortho Mx - scaphoid pole #
A
surgical fixation
11
Q
complications
A
non-union –> pain and early OA
avascular necrosis
