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Hand & Upper Limb
intermediate
X-Type

Scaphoid Fracture Management

Wrist Trauma

A 22-year-old man falls onto his outstretched hand while snowboarding. He has anatomical snuffbox tenderness and pain with axial compression of the thumb. Initial radiographs are normal but clinical suspicion is high. The patient is an elite athlete keen to return to sport quickly. Regarding scaphoid fracture management:

Mark each as TRUE or FALSE

A

The scaphoid has retrograde blood supply entering through the dorsal ridge; proximal pole fractures ...

B

Undisplaced waist fractures can be treated with thumb spica cast for 8-12 weeks with 90-95% union ra...

C

Scaphoid blood supply enters from the volar surface; distal pole fractures have the highest AVN risk...

D

Scaphoid nonunion can lead to SNAC wrist (Scaphoid Nonunion Advanced Collapse) with predictable patt...

E

Clinical examination findings include anatomical snuffbox tenderness, scaphoid tubercle tenderness, ...

Answer the questions to see explanations

Click T (True) or F (False) for each option