Diferencia entre revisiones de «Capitate fracture»
Sin resumen de edición |
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| Línea 16: | Línea 16: | ||
==Management== | ==Management== | ||
*Isolated capitate fracture requires [[splint]] immobilization and early ortho referral | *Isolated capitate fracture requires [[Forearm volar splint]] immobilization and early ortho referral | ||
*Capitate fracture associated w/ [[scaphoid fracture]] or dislocations requires surgical treatment | *Capitate fracture associated w/ [[scaphoid fracture]] or dislocations requires surgical treatment | ||
Revisión del 13:16 6 nov 2015
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 Forearm volar splint immobilization and early ortho referral
- Capitate fracture associated w/ scaphoid fracture or dislocations requires surgical treatment
See Also
Source
- Tintinalli