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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Scaphoid Fractures

Wrist Trauma

A 25-year-old male presents after falling onto his outstretched hand while snowboarding. He has tenderness in the anatomical snuffbox and pain with axial loading of the thumb. Initial radiographs are normal. Regarding scaphoid fractures:

Mark each as TRUE or FALSE

A

The scaphoid is the most commonly fractured carpal bone, accounting for 60-70% of carpal fractures; ...

B

Clinical examination includes tenderness in the anatomical snuffbox, pain with axial loading of the ...

C

All scaphoid fractures require surgical fixation; distal pole fractures have the highest nonunion ra...

D

Indications for surgical fixation include displaced fractures (greater than 1mm step or gap), proxim...

E

Scaphoid nonunion can lead to progressive carpal collapse (SNAC wrist) with predictable arthritic ch...

Answer the questions to see explanations

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