Diferencia entre revisiones de «Capitate fracture»
Sin resumen de edición |
|||
| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
*Isolated capitate fractures are rare | *Isolated capitate fractures are rare (scaphoid is most common associated fracture) | ||
*Occurs via forceful dorsiflexion of hand with impact on radial side | *Occurs via forceful dorsiflexion of hand (FOOSH injury) with impact on radial side | ||
*Proximal fracture fragment at risk for avascular necrosis | *Proximal fracture fragment at risk for avascular necrosis | ||
| Línea 8: | Línea 8: | ||
==Imaging== | ==Imaging== | ||
[[File:Capitate_Fracture.jpg|thumb|Capitate fracture]] | [[File:Capitate_Fracture.jpg|thumb|Capitate fracture]] | ||
*Plain films of hand | |||
*Often overlooked due to accompanying [[scaphoid fracture]] or lunate/perilunate dislocation | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Línea 18: | Línea 19: | ||
*Isolated capitate fracture requires [[forearm volar splint]] immobilization and early ortho referral | *Isolated capitate fracture requires [[forearm volar splint]] immobilization and early ortho referral | ||
*Capitate fracture associated with [[scaphoid fracture]] or dislocations requires surgical treatment | *Capitate fracture associated with [[scaphoid fracture]] or dislocations requires surgical treatment | ||
==Disposition== | |||
*Generally may be dishcarged | |||
==See Also== | ==See Also== | ||
| Línea 24: | Línea 28: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revisión del 01:36 25 dic 2016
Background
- Isolated capitate fractures are rare (scaphoid is most common associated fracture)
- Occurs via forceful dorsiflexion of hand (FOOSH injury) with 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
- Plain films of hand
- Often overlooked due to accompanying scaphoid fracture or lunate/perilunate 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 with scaphoid fracture or dislocations requires surgical treatment
Disposition
- Generally may be dishcarged