Hand and Wrist Fractures
A 24-year-old man presents after falling onto his outstretched hand during a rugby match. He has pain in the radial aspect of his wrist, tenderness in the anatomical snuffbox and over the scaphoid tubercle, and pain with axial loading of the thumb. Initial radiographs appear normal, but due to high clinical suspicion, an MRI is obtained which confirms an undisplaced fracture through the scaphoid waist. Regarding scaphoid fractures:
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The scaphoid is the most commonly fractured carpal bone; blood supply enters primarily distally and ...
The Herbert classification divides fractures into stable (Type A: A1 tubercle, A2 incomplete waist) ...
Blood supply enters the scaphoid proximally; distal pole fractures have the highest AVN risk; radiog...
Clinical examination includes anatomical snuffbox tenderness (high sensitivity, low specificity), sc...
Treatment depends on fracture stability and location; non-displaced stable fractures (Type A) can be...
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Click T (True) or F (False) for each option