scaphoid fractures Flashcards
1
Q
what is the most commonly fractured carpal bone?
A
scaphoid bone
2
Q
what causes it?
A
fall on an outstretched hand
3
Q
what forms the medial border of the anatomic snuffbox and what is it supplied by?
A
extensor pollicis longus
radial nerve
4
Q
how does it clinically present?
A
pain and tenderness in anatomical snuffbox
5
Q
what investigations are used?
A
x-ray -> AP, lateral, 2 obliques
can be invisible - repeat x-ray after 10 days, MRI can help diagnose or rule out fracture
6
Q
what is the conservative management?
A
cast
7
Q
what is the operative management?
A
percutaneous screw fixation, ORIF
8
Q
A
