SCAPHOID FRACTURE Flashcards
1
Q
Mechanism
A
FOOSH
OR
Axial load directed along thumb’s metacarpal
2
Q
Clinical Features
A
- Snuffbox tenderness (w ulnar deviation)
- Axial load 1st MC
- Palmar scaphoid tender
3
Q
X-RAY
A
3V Wrist + scaphoid view
May miss up to 1/3rd of acute scaphoid fractures
4
Q
Most common area of fracture
A
Waist (middle 1/3)
5
Q
Management
A
Thumb Spica in dorsiflexion with radial deviation
If displaced refer to ortho from ED
Undisplaced follow up with ortho in 1 - 2 weeks
6
Q
Associated Injuries
A
Distal radius fracture
Fracture of neighbouring carpals
Carpal dislocation
7
Q
Complications
A
Avascular necrosis
Delayed union
Non union
Malunion
Early degenerative arthritis
