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6 Cards in this Set

  • Front
  • Back

Adult wrist trauma


MC are Fx of...


In adult


In kid

Scaphoid bone in young male


Distal radius in elderly due to ostprs



Buckle Fx in kid

Scaphoid Fx present

Fall on outstretched hand=hyperext+bending of wrist



Pain at anatomical snuff box

X-ray at least 3 films

PA


Lat


For alignment of carpal bone



45degree semi-pronated oblique view


For long axis of Scaphoid bone



+/-


Semisupinated oblique or


Ulnar deviated PA view

If can't R/O scaphoid Fx...

CT MRI



Thumb spica 2 wk then F/U film

Film findings

Radiolucent line


Band of sclerosis


Cortical disruption or displacement

Important comp

Avascular necrosis


Risk more if Fx at prox scaphoid