$scaphoid fracture$ $scaphoid fracture$

SCAPHOID FRACTURE SERIES

Where MRI is not available, a bone scan may be useful. Scaphoid Injury Medication: Analgesics, Nonsteroidal anti-inflammatory drugs (NSAIDs), Cyclooxygenase-2 (COX-2) inhibitors Drugs & Diseases > Physical Medicine and Rehabilitation Scaphoid Injury. There will be increased signal in edematous bone marrow on the fluid-weighted sequences (T2/STIR) and reduced signal on T1. It is also very sensitive for a ligamentous injury. MRIĪn MRI is a very sensitive test for looking at bone edema which occurs after fracture. However, displaced and non-displaced fractures of the proximal and distal pole may be seen. A scaphoid fracture occurs when there is a break in the wrists scaphoid bone, a small bone near the base of the thumb. Plain radiographĪ lucent line across the waist of the scaphoid is the commonest site for fracture. However, scaphoid fractures may be occult and the risk of avascular necrosis merits follow-up in patients with continued symptoms.Īdditional follow-up in this group can make use of a bone scan or MRI because of their greater sensitivity and specificity. Plain radiographs (4-view scaphoid series) is used for diagnosis.

avascular necrosis can occur and result in chronic pain.

$scaphoid fracture$

most fractures heal without complications.internal fixation may be required for displaced waist fractures.non-displaced fractures treated with immobilization in cast.if normal with continued symptoms, further imaging can be performed.

SCAPHOID FRACTURE SERIES

a scaphoid series (4 views) more sensitive than wrist x-ray (2 views).Symptoms can include pain and swelling around the wrist. scaphoid fractures may be occult on plain radiographs A scaphoid fracture is usually caused by a fall on to an outstretched hand.focal tenderness over the anatomical snuffbox.Scaphoid fractures are not uncommonly missed initially on clinical and radiographic examination. They account for 2 to 7 of all fractures and 60-70 of carpal bone fractures. wrist pain following a fall onto an outstretched hand Scaphoid fractures are the most common carpal fractures and tend to occur in younger, active individuals.The scaphoid is the most commonly fractured carpal. commonest in male adolescents and young adults (10-19) 1 Delayed union of a scaphoid waist fracture with possible avascular necrosis of the proximal pole.1 This injury is frequent in adults and athletes who fell on their outstretched hand. Risk of nonunion is up to 10 in all nondisplaced fractures. For more information, you can read a more in-depth reference article: scaphoid fracture. The scaphoid is the most commonly injured bone amongst carpal bones at the wrist, accounting for 10 of all hand fractures and 50 to 80 of all carpal fractures.

$scaphoid fracture$