Diferencia entre revisiones de «Capitate fracture»
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==Images== | ==Images== | ||
[[File:Capitate_Fracture.jpg]] | [[File:Capitate_Fracture.jpg]] | ||
==See Also== | |||
[[Wrist Fracture]] | |||
==Source== | ==Source== | ||
Revisión del 23:16 7 mar 2012
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
Management
- Isolated capitate fx requires splint immobilization and early ortho referral
- Capitate fx associated w/ scaphoid fx or dislocations requires surgical treatment
Images
See Also
Source
- Tintinalli