Scaphoid Fracture

Question 1

How does a scaphoid fracture occur?

Answer 1

1. FOOSH
   *wrist is in Dorsiflexion and radial deviation

Question 2

How should you treat a scaphoid fracture?

Answer 2

1. As if there is a fracture (even if X-rays don’t show a fracture)
   *may be tenderness in the anatomical snuff box

Question 3

What are the diagnostic test?`

Answer 3

1. XRays
2. Bone scans or follow up X-rays at 7-14 days
   *can consider MRI or CT

Question 4

What are some complications of a scaphoid fracture?

Answer 4

1. AVN
2. Delayed union, nonunion

Question 5

What is the treatment of a scaphoid fracture?

Answer 5

1. Thumb spica cast
   *short arm cast
   *wrist slightly dorsiflexed
   *thumb in pinch position