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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Scaphoid Fracture Management Principles

Wrist Trauma

A 24-year-old man presents 2 days after falling onto his outstretched hand while snowboarding. He has persistent radial wrist pain with tenderness in the anatomical snuffbox and pain with longitudinal thumb compression. Initial radiographs are reported as normal. The treating team is considering further investigation and management options. Regarding scaphoid fractures:

Mark each as TRUE or FALSE

A

The scaphoid is the most commonly fractured carpal bone (70-80%); the blood supply enters distally t...

B

Clinical examination findings include anatomical snuffbox tenderness (sensitivity 90%, specificity 4...

C

The scaphoid receives its blood supply from the proximal pole; the proximal pole is the most common ...

D

Non-displaced waist fractures may be treated with cast immobilization (thumb spica) for 8-12 weeks o...

E

Complications include non-union (5-10% for cast-treated waist fractures, higher for proximal pole an...

Answer the questions to see explanations

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