Scaphoid Fractures

• Scaphoid Fractures:

  • MOI:
  • high energy impact or fall
  • usually occurs in the younger age groups up to 20 - 30's
  • assessment:
  • painful weightbearing in wrist extension
  • snuff box tenderness
  • swelling
  • investigations
  • CT scan is usually method of choice
  • xray - 4 views
  • management
  • has to be treated as a fracture until proven otherwise: splint and rescan at 2 to 3 weeks
  • NWB thermoplastic splint, rescan at 6 weeks
  • risk of non-union and avascular necrosis

  
• Scaphoid Fractures - 4 xray views: