Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Scaphoid Fracture — Diagnosis & Treatment

Most common carpal fracture, usually waist (70%). Blood supply retrograde to proximal pole → high risk of AVN. Clinical: anatomical snuffbox tenderness, pain on axial loading of thumb. Investigations: X-ray may be normal; MRI is sensitive for occult fracture. Treatment: cast for undisplaced, screw fixation for displaced, vascularized bone graft for nonunion.

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Most common carpal fracture, usually waist (70%). Blood supply retrograde to proximal pole → high risk of AVN. Clinical: anatomical snuffbox tenderness, pain on axial loading of thumb. Investigations: X-ray may be normal; MRI is sensitive for occult fracture. Treatment: cast for undisplaced, screw fixation for displaced, vascularized bone graft for nonunion.
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Question 1

What is the most common location for a scaphoid fracture?

Question 2

What is the primary blood supply to the scaphoid?

Question 3

Which clinical sign has the highest sensitivity for diagnosing a scaphoid fracture?

Question 4

What is the initial treatment for an undisplaced scaphoid fracture?

Question 5

What is the risk of avascular necrosis (AVN) associated with proximal pole scaphoid fractures?

Question 6

Which imaging modality is most sensitive for detecting occult scaphoid fractures?

Question 7

What is the management for a complete fracture through the waist of the scaphoid?

Question 8

In the Herbert classification of scaphoid fractures, what is a type B2 fracture?

Question 9

What is the appropriate intervention for a scaphoid non-union with cyst formation?

Question 10

Which of the following statements about scaphoid fractures is true?