Diferencia entre revisiones de «Lunate fracture»
m (Rossdonaldson1 moved page Lunate Fracture to Lunate fracture) |
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| Línea 15: | Línea 15: | ||
==Management== | ==Management== | ||
*Short arm thumb spica | *Short arm [[thumb spica splint]] | ||
*Ortho referral | *Ortho referral | ||
Revisión del 12:10 18 nov 2014
Background
- Isolated lunate injuries are rare
- Occurs via FOOSH mechanism
- Blood supply enters distal end; fx puts proximal portion at risk for avascular necrosis
Clinical Features
- Axial compression applied along 3rd metacarpal elicits tenderness
Diagnosis
- PA and lateral views
- MRI/CT may be required to identify occult fractures
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Management
- Short arm thumb spica splint
- Ortho referral
See Also
Source
- Tintinalli