Diferencia entre revisiones de «Capitate fracture»
m (Rossdonaldson1 moved page Capitate Fracture to Capitate fracture) |
Sin resumen de edición |
||
| Línea 10: | Línea 10: | ||
*Standard views | *Standard views | ||
*Often overlooked b/c of accompanying scaphoid fx or perilunate/lunate dislocation | *Often overlooked b/c of accompanying scaphoid fx or perilunate/lunate dislocation | ||
[[File:Capitate_Fracture.jpg|thumb|Capitate fracture]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Línea 15: | Línea 16: | ||
==Management== | ==Management== | ||
*Isolated capitate | *Isolated capitate fracture requires [[splint]] immobilization and early ortho referral | ||
*Capitate | *Capitate fracture associated w/ [[scaphoid fracture]] or dislocations requires surgical treatment | ||
==See Also== | ==See Also== | ||
[[ | *[[Carpal fractures]] | ||
==Source== | ==Source== | ||
Revisión del 12:15 18 nov 2014
Background
- Isolated capitate fractures are rare; most often occur along w/ scaphoid fx
- Occurs via forceful dorsiflexion of hand w/ impact on radial side
- Proximal fracture fragment at risk for avascular necrosis
Clinical Features
- Diffuse swelling and tenderness over capitate (just proximal to 3rd metacarpal)
Imaging
- Standard views
- Often overlooked b/c of accompanying scaphoid fx or perilunate/lunate dislocation
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Management
- Isolated capitate fracture requires splint immobilization and early ortho referral
- Capitate fracture associated w/ scaphoid fracture or dislocations requires surgical treatment
See Also
Source
- Tintinalli