scaphoid fracture

Mastering the Management of Scaphoid Fractures: Understanding Classification, Treatment, and Complications

Management of Scaphoid Fracture /* CSS for the main container */ .container { font-size: 18px; font-family: WorkSans-Bold, Helvetica, sans-serif; width: 1140px; padding: 20px; margin: 0px auto; max-width: 1200px; color: rgb(51, 51,

Understanding Scaphoid Fracture: Diagnosis, Classification, and Treatment Options

Scaphoid fracture is the most common carpal bone fracture, which occurs when the wrist is forcefully dorsiflexed, pronated, and ulnarly deviated. It is most common in the third decade of life, and the waist of the scaphoid is the most common location for the fracture. The diagnosis of scaphoid

كسور العظم الزورقي

! العظم الزورقي العظم الزورقي هو واحد من 8 عظام رخامية تقع بين عظام مشط القدم وعظام الساعد. يشبه حبة الفاصولياء بالشكل. تعمل بمثابة رافعة أثناء حركة المعصم، حيث

هل كسر الرسغ خطير؟

! هل كسر الرسغ خطير؟ هل كسر المعصم خطير؟ تحديد ما إذا كان كسر الرسغ والمعصم خطير أم لا يعتمد على السبب الذي أدى لحدوث الكِسر ودرجة تضرر العظام وبنى المفصل

كسر المعصم

كسور الرسغ والمعصم المعصم المكسور هو كسر أو شرخ في عظمة أو أكثر من عظام المعصم. تحدث أكثر هذه الإصابات شيوعًا في الرسغ عندما يحاول الناس التماسك أثناء السقوط

wrist

Study of the wrist cannot be separated from that of the hand, and in many cases careful examination of both may be required.&zwnj;   COMPLICATIONS OCCURRING AFTER COLLES’ FRACTURE   Considering the incidence of Colles’ fracture, the commonest of all fractures, it

SCAPHOID FRACTURE

Imaging and Special Studies‌

Imaging and Special Studies&zwnj; Radiation safety Should be considered for every fluoroscopic case Increased radiation exposure associated with Imaging of larger body parts Positioning the extremity closer to the

PEDIATRIC WRIST AND HAND Fractures and Dislocations

PEDIATRIC WRIST AND HAND       INJURIES TO THE CARPUS Epidemiology Rare, although carpal injuries may be underappreciated owing to difficulties in examining an injured child and the limited ability of plain radiographs

WRIST INJURIES

WRIST INJURIES         EPIDEMIOLOGY The annual incidence of carpal fractures in the United States was reported at more than 678,000 in 1995. Seven percent of distal radius fractures have an associated carpal fracture. Carpal

Wrist CASES 1

CASE 1   A 14-year-old patient presents with pain in the wrist after a fall. Examination reveals tenderness over the anatomical snuff box. X-ray picture is shown below (Fig. 3–1). What is the next course of treatment? Analgesia only No further

Surgery of the Wrist

Wrist arthroscopy&zwnj; Preoperative planning Indications Assessment and treatment of radiocarpal and mid-carpal joint problems to include: Chondral surfaces and debridement of lesions Triangular fibrocartilage complex (TFCC) assessment and treatment Assessment and

Elbow Replacement for Acute Trauma

DEFINITION Most comminuted elbow fractures have associated soft tissue injuries, which are often of equal or greater importance to the bony injury. The goal when treating acute elbow fractures is that of anatomic open reduction and internal fixation (ORIF) with management of any soft tissue

Percutaneous Fixation of Acute Scaphoid Fractures

DEFINITION Located in the proximal carpal row, the scaphoid serves as an important link between the proximal and distal carpal rows. It is the most commonly fractured carpal bone, accounting for about 1 in every 100,000 emergency room visits.17 Scaphoid fractures typically result from a fall

Open Reduction and Internal Fixation of Scaphoid Fractures

DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an outstretched hand or less commonly following forced palmar flexion of the wrist20 or axial loading of

Open Reduction and Internal Fixation of Ulnar Styloid, Head, and Metadiaphyseal Fractures

DEFINITION The distal ulna is the fixed point7 around which the radius and the hand function ( FIG 1A). Fractures of the distal ulna are often inadequately treated in comparison to its larger counterpart, the radius (FIG 1B,C). Recent literature has devoted increased attention to

Intramedullary and Dorsal Plate Fixation of Distal Radius Fractures

DEFINITION Distal radius fractures typically originate in the radial metaphysis and occasionally enter the radiocarpal joint and distal radioulnar joint (DRUJ). These fractures may be stable or unstable, intra-articular or extra-articular, and have significant incidences of associated bony

Intramedullary and Dorsal Plate Fixation of Distal Radius Fractures

Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures

DEFINITION A bimodal age distribution exists for patients with distal radius fractures (ie, young adults vs. elderly persons), and they frequently have a different mechanism of injury. Patients 65 years of age or older have an annual incidence of 8 to 10 fractures of the distal radius per

Volar Plating of Distal Radius Fractures

DEFINITION Distal radius fractures are defined by their involvement of the metaphysis of the distal radius. They are assessed on the basis of fracture pattern, alignment, and stability: Articular versus nonarticular Reducible versus irreducible Stable versus unstable Irreducible or

Open and Arthroscopic Radial Styloidectomy

      DEFINITION Arthritis between the radial styloid and the distal aspect of the scaphoid can lead to pain, weakness of grip, and limitation of motion. This arthritis can occur in the early stages of a variety of pathologic states of the radiocarpal joint. Radial

ORTHOPEDIC MCQS BANK HAND AND WRIST 1B

145) A 32-year-old carpenter complains of progressively worsening wrist pain for the last 2 months. He denies any recent history of trauma to the wrist or hand. An MRI is obtained and a representative image is provided in Figure A. Which of the following surgical interventions is thought to be

ORTHOPEDIC MCQS BANK HAND AND WRIST 1C

  A 22-year-old college quarterback is tackled and sustains a reducible first carpometacarpal dislocation. What is the recommended treatment? Closed reduction and casting Closed reduction and percutaneous pinning First carpometacarpal

ORTHOPEDIC MCQS BANK Hand and wrist 1A

A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her

Partial Scaphoid Excision of Scaphoid Nonunions

  Partial Scaphoid Excision of Scaphoid Nonunions         DEFINITION Scaphoid fractures are quite commonplace, representing the most frequently fractured carpal bone with an annual incidence of approximately 29 per 100,000.5 Fractures of the scaphoid,

Vascularized Bone Grafting of Avascular Scaphoid Nonunions

  Vascularized Bone Grafting of Avascular Scaphoid Nonunions         DEFINITION Scaphoid fractures account for 60% of carpal bone fractures. Nonunions occur in up to 15% of scaphoid fractures and often result from delayed treatment, inadequate

Volar Wedge Bone Grafting and Internal Fixation of Scaphoid Nonunions

  Volar Wedge Bone Grafting and Internal Fixation of Scaphoid Nonunions         DEFINITION The scaphoid is the most commonly fractured carpal bone in the wrist. Scaphoid fractures that fail to heal after 6 months of treatment are categorized as

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures       DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures typically result from a fall on an

Percutaneous Fixation of Acute Scaphoid Fractures

  Percutaneous Fixation of Acute Scaphoid Fractures       DEFINITION Located in the proximal carpal row, the scaphoid serves as an important link between the proximal and distal carpal rows. It is the most commonly fractured carpal bone, accounting for about 1

Percutaneous Fixation of Acute Scaphoid Fractures

Volar Plating of Distal Radius Fractures

  Volar Plating of Distal Radius Fractures       DEFINITION Distal radius fractures are defined by their involvement of the metaphysis of the distal radius. They are assessed on the basis of fracture pattern, alignment, and stability: Articular versus

Intramedullary and Dorsal Plate Fixation of Distal Radius Fractures

  Intramedullary and Dorsal Plate Fixation of Distal Radius Fractures         DEFINITION Distal radius fractures typically originate in the radial metaphysis and occasionally enter the radiocarpal joint and distal radioulnar joint (DRUJ). These

Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures

  Arthroscopic Reduction and Fixation of Distal Radius and Ulnar Styloid Fractures         DEFINITION A bimodal age distribution exists for patients with distal radius fractures (ie, young adults vs. elderly persons), and they frequently have a

Open Reduction and Internal Fixation of Ulnar Styloid, Head, and Metadiaphyseal Fractures

  Open Reduction and Internal Fixation of Ulnar Styloid, Head, and Metadiaphyseal Fractures       DEFINITION The distal ulna is the fixed point7 around which the radius and the hand function (FIG 1A). Fractures of the distal ulna are often inadequately

Elbow Replacement for Acute Trauma

  Elbow Replacement for Acute Trauma       DEFINITION Most comminuted elbow fractures have associated soft tissue injuries, which are often of equal or greater importance to the bony injury. The goal when treating acute elbow fractures is that of anatomic

Arthroscopy of the Wrist: Preparation and Techniques

  Arthroscopy of the Wrist: Preparation and Techniques       BACKGROUND     Since its inception, wrist arthroscopy has continued to evolve. The initial emphasis on viewing the wrist from the dorsal aspect arose from the relative lack of

ORTHOPEDIC MCQS ONLINE QUESTION BANK H1E

ORTHOPEDIC MCQS ONLINE QUESTION BANK H1E 1411. (1764) Q4-2162: All of the following are characteristic of hemangiomas except:   1) 70% of hemangiomas are visible by 4 weeks of age 3) Hemangiomas are three times more common in woman than men 2) 70% of hemangiomas regress by 7

APPROACHES TO THE The Wrist and Hand

APPROACHES TO THE The Wrist and Hand       The Wrist and Hand       Dorsal Approach to the Wrist Applied Surgical Anatomy of the Dorsal Approach to the Wrist Volar Approach to the Distal Radius Volar Approach to

Open Reduction and Internal Fixation of Scaphoid Fractures

Chapter 2 Open Reduction and Internal Fixation of Scaphoid Fractures   Asheesh Bedi Peter J.L. Jebson Levi Hinkelman   DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid

Open Reduction and Internal Fixation of Scaphoid Fractures

  Open Reduction and Internal Fixation of Scaphoid Fractures   Asheesh Bedi Peter J.L. Jebson Levi Hinkelman   DEFINITION The scaphoid is the most commonly fractured carpal bone, accounting for 1 in every 100,000 emergency department visits.15 Scaphoid fractures

Volar Plating of Distal Radius Fractures

Volar Plating of Distal Radius Fractures   Volar Plating of Distal Radius Fractures       DEFINITION Distal radius fractures are defined by their involvement of the metaphysis of the distal radius. They are assessed on the basis of fracture pattern,

Orthopaedic postgraduate exams

Orthopaedic postgraduate exams   I.Single-choice questions (1 point for each question, 50 points in total, no point for wrong choice) 1. The most common complication of lower middle third humerus fracture is A brachial artery injury    B median nerve

ORTHOPEDIC MCQS BANK OITE 99

ORTHOPEDIC MCQS BANK OUTE 99 99.1 Examination of a 60-year-old man who has a painful flatfoot deformity reveals no demonstrable function of the posterior tibial tendon. Neither the hindfoot valgus nor the forefoot pronation is passively correctable, and management consisting of shoe

ORTHOPEDIC MCQS ONLINE OB HAND 1A

ORTHOPEDIC MCQS ONLINE OB HAND 1A   A 35-year-old woman reports wrist pain after a fall onto an outstretched hand. On exam, she has focal tenderness over the wrist snuffbox. A radiograph and CT image are shown in Figures A and B. What is the proper treatment of her

ORTHOPEDIC MCQS 20 OB TRAUMA 1C

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1C   Figure A Buttress plating is most appropriate in which of the following clinical

ORTHOPEDIC MCQS O11 UPPER EXTREMITY

ORTHOPEDIC MCQS  011 UPPER EXTREMITY  2011 Upper Extremity Self-Assessment Exam by Dr.Dhahirortho     1       Question 1A 23-year-old patient with

ORTHOPEDIC MCQS ONLINE 014 ANATOMY IMAGING

ORTHOPEDIC MCQS ONLINE 014 ANATOMY IMAGING  Anatomy Imaging Self-Assessment Examination   AHMED

ORTHOPEDIC MCQS ONLINE HAND 017

ORTHOPEDIC MCQS ONLINE HAND017   HAND AND WRIST SELF-SCORED EXAMINATION AAOS 2016     Question 1 of

Orthopedics Mcqs Hand0019

  Hand and Wrist Scored and Recorded Self-Assessment Examination

HAND AND WRIST MCQS 019

HAND AND  WRIST MCQS 019 HAND AND WRIST SCORED AND RECORDED SELF-ASSESSMENT EXAMINATION 2019              Question 2 of 100 Figure 1 depicts an intraoperative photograph obtained following proximal row carpectomy. The

ORTHO MCQS BANK 011 FREE 03

  ORTHO MCQS BANK 011 FREE 03 Question 2..On MRI, what nerve is most likely to demonstrate increased signal intensity about the elbow in asymptomatic patients? 1- Ulnar 2- Radial 3- Median 4- Anterior interosseous 5- Musculocutaneous DISCUSSION: The ulnar nerve has been shown to have

ORTHOPEDIC MCQS OB 20 BASIC 3

ORTHOPEDIC MCQS OB 20 BASIC 3 A type IV (delayed-type hypersensitivity reaction) can be seen in which of the following scenarios? Packed red blood cell transfusion Platelet transfusion Immune inert scaffold placement Metal plate and screw placement for fracture Red man

ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01

ORTHOPEDIC MCQS BANK WITH ANSWER SPORT 01 1.         An 18-year-old high school football player sustains a thigh injury that results in the findings shown in Figure 1.  Initial management should consist

ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03

ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03 1.         A 21-year-old woman who was wearing a seat belt sustained an injury of the thoracolumbar junction in a motor vehicle accident.  The AP radiograph shows widening between the L1 and L2 spinous processes,

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05     1.      A 36-year-old woman has pain and swelling of the anterior arm after undergoing arthroscopic shoulder surgery 8 months ago.  At the time of the procedure, extensive debridement and synovectomy of

ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06

ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06 1.      A 36-year-old woman sustained a tarsometatarsal joint fracture-dislocation in a motor vehicle accident.  The patient is treated with open reduction and internal fixation.  What is the most common

ONLINE ORTHOPEDIC MCQS UPPER LIMB08

ONLINE ORTHOPEDIC MCQS UPPER LIMB08   1.       A 68-year-old man had a 3-year history of shoulder pain that failed to respond to nonsurgical management.  Examination reveals forward elevation to 120 degrees and external rotation to 30 degrees. 

ONLINE ORTHOPEDIC MCQS TRAUMA 9

ONLINE ORTHOPEDIC MCQS TRAUMA 9   1.       A 26-year-old woman sustained a nondisplaced femoral neck fracture and treatment consisted of use of percutaneous cannulated screws.  At her 3-month follow-up visit, she reports hip pain and is unable to

Hand and wrist: Answers MCQS EMQS

Hand and wrist: Answers MCQs d.      Central slip rupture. Swan neck deformity is secondary to an imbalance between flexors and extensors with a variable contribution from the intrinsic muscles. Central slip rupture is the cause of a Boutonnière

Hand and wrist: MCQ AND EMQ Questions

Hand and wrist: MCQ AND EMQ Questions MCQs Which of the following is not a cause of a swan neck deformity? Mallet deformity. Flexor tendon tenosynovitis. Volar plate rupture. Central slip rupture. Lateral band subluxation. When performing a replant of an

Orthopaedic Trauma

/* Font Definitions */ @font-face { font-family: Helvetica; panose-1: 2 11 6 4 2 2 2 2 2 4; } @font-face { font-family: Courier; panose-1: 2 7 4 9 2 2 5 2 4 4; } @font-face {

Hands and Paediatric Orthopaedics

viva Hands and Paediatric Orthopaedics    Hands and Paediatric Orthopaedics  Section 1 Hands Viva 1  What is the likely diagnosis?  What are the risk factors for this condition?  What are the two main

CARPAL Fractures and dislocations

CARPAL Fractures and dislocations  Facts Fractures and dislocations involving the carpus can be easily misdiagnosed as wrist sprains The carpus is made up of 8 bones grouped into 2 rows Distal carpal row: strong ligamentous connections

FREE Orthopedics MCQS 2022 1601-1650.

FREE Orthopedics MCQS 2022 1601-1650. 1601. (3872) Q4-7655: Types of nerve tissues surrounding the axons include all of the following EXC EPT: 1) Endoneurium 3) Perineurium 2) Hyponeurium 5) Epineurium 4) Mesoneurium The structures surrounding the axons and

Dorsolateral Approach to the Scaphoid

Dorsolateral Approach to the Scaphoid The dorsolateral approach offers an excellent and safe exposure of the scaphoid bone. Its major drawback is that it endangers the superficial branch of the radial nerve, and it also may interfere with the dorsal blood supply of the scaphoid.41 Its uses

Bone Fractures-Broken Bones

Bone Fractures-Broken Bones Bone fractures are a very common injury and can affect anyone at any age. If you’re older than 50 or have a family history of osteoporosis, talk to your provider about a bone density screening. We treat all types of fractures , throughout all stages of

The wrist and handافضل دكتور عظام

    The wrist and hand     1 Colles fracture: A Colles fracture is a fracture of the radius within 2.5 cm of the wrist (1), with a characteristic deformity if displaced. It is the commonest of all fractures. It