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Diagnosis can generally be made by dedicated radiographs but ct or mri may be needed for confirmation The purpose of this article is to discuss the treatment, rehabilitation, and return to play guidelines for scaphoid injuries. Treatment may require a prolonged period of cast immobilization, percutaneous surgical fixation, or open reduction and internal fixation.
Over 200,000 physicians learn and collaborate together in our online community The majority heal uneventfully after four to six weeks of immobilization, depending on fracture type.in general, proximal scaphoid fractures should be treated with internal fixation. On exam, he has point tenderness dorsally over the anatomic snuffbox
A radiograph of his left wrist demonstrates a fracture of the proximal pole of the scaphoid.
Abstract in cases of suspected scaphoid fracture where the initial radiographs are negative, a supplementary mri, or alternatively ct, should be carried out within three to five days Fracture classification, assessment of dislocation as well as evaluation of fracture healing is best done on ct with reconstructions in the coronal and sagittal planes, following the longitudinal axis of the. Scapholunate dissociation, also known as rotary subluxation of the scaphoid, refers to an abnormal orientation of the scaphoid relative to the lunate and implies severe injury to the scapholunate interosseous ligament and other stabilizing ligaments. Prevents rotation proximal portion no significant strength disruption leads to lunate extension when the scaphoid flexes creating disi deformity lunotriquetral ligament composed of 3 components
Scaphoid fractures are by far the most frequent fractures of the carpal bones of the hand and often lead to problematic healing processes if the diagnostics and treatment are inadequate.
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