Diferencia entre revisiones de «Capitate fracture»
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| 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 | ||
==Differential Diagnosis== | |||
{{Carpal fractures}} | |||
==Management== | ==Management== | ||
Revisión del 22:40 17 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 fx requires splint immobilization and early ortho referral
- Capitate fx associated w/ scaphoid fx or dislocations requires surgical treatment
Images
See Also
Source
- Tintinalli