Most commonly fractured carpal bone
Fractures occur in three anatomic sections: proximal, waist, and distal.
Mechanism of injury is normally a fall onto an outstretched hand.
Proximal p...
Patients report falling on an outstretched hand or a forced wrist extension.
Pain and swelling at the radial wrist near the 1st metacarpal base
Characterized as a deep and dull pain mad...
Immobilize in a thumb spica
Sling for comfort
Ice and elevation
Tylenol or nonsteroidal anti-...
Nondisplaced waist or distal pole fractures can be managed closely by a primary care physician.
Refer patients with displaced fractures and proximal pole fractures...
Ram AN, Chung KC. Evidence-based management of acute nondisplaced scaphoid waist fractures. J Hand Surg Am. 2009;34(4):735–738.
Shehab R, Mirabelli MH. Evaluation and diagnosis...
A scaphoid fracture is unlikely in the absence of tenderness in the anatomic snuffbox and at the scaphoid tubercle.
High-demand athletes may do better with early surgical fixation of ev...
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