Scaphoid fracture Flashcards
What are scaphoid fractures the most common form of?
Most common carpal fractures
What is the surface of the scaphoid covered by?
Articular cartilage with small area available for blood vessels
What does fracturing the scaphoid bone risk?
Fracturing risks blood supply- dorsal vessel of radial artery
What does the scaphoid bone form?
The floor of the anatomical snuff box
What is a common cause of scaphoid fractures?
Falling on an outstretched hand
What are the main signs of a fracture of the scaphoid?
Swelling and tenderness in the anatomical snuff box
Pain on wrist movements and on longitudinal compression of the thumb.
What aggrevates the pain in someone with a scaphoid fracture?
Pain on movement of the wrist and longitudional compression of the thumb
How can a scaphoid fracture be diagnosed?
X-ray
What type of x-ray view is needed to visualise the scaphoid?
Ulnar deviation AP
What is the most important clinical feature of a scaphoid fracture?
Pain on palpation of the anatomical snuff box
What is the management of a scaphoid fracture is confirmed?
Wrist should be placed in the ‘beer glass position’ and casted
What is the management if there is high suspicion of a scaphoid fracture?
Commence treatment and treatment and repeat X-rays/MRI after 10 days.
What is the main complication of a scaphoid fracture?
Avascular necrosis, which would present with pain and stiffness at the wrist.
What is the management of a scaphoid fracture in the proximal pole?
Surgical fixation
