Diferencia entre revisiones de «Capitate fracture»
(Text replacement - "==Source==" to "==References== <references/>") |
(Text replacement - "*Tintinalli" to "") |
||
| Línea 24: | Línea 24: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revisión del 12:08 27 jun 2016
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