Diferencia entre revisiones de «Lunate fracture»
Sin resumen de edición |
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| Línea 2: | Línea 2: | ||
*Isolated lunate injuries are rare | *Isolated lunate injuries are rare | ||
*Occurs via FOOSH mechanism | *Occurs via FOOSH mechanism | ||
*Blood supply enters distal end | *Blood supply enters distal end - proximal fracture fragment at risk of [[avascular necrosis]] (Kienbock’s disease) | ||
==Clinical Features== | ==Clinical Features== | ||
| Línea 20: | Línea 19: | ||
==Disposition== | ==Disposition== | ||
* | *Discharge | ||
==See Also== | ==See Also== | ||
| Línea 26: | Línea 25: | ||
==References== | ==References== | ||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revisión del 01:37 25 dic 2016
Background
- Isolated lunate injuries are rare
- Occurs via FOOSH mechanism
- Blood supply enters distal end - proximal fracture fragment at risk of avascular necrosis (Kienbock’s disease)
Clinical Features
- Axial compression applied along 3rd metacarpal elicits tenderness
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Evaluation
- PA and lateral views
- MRI/CT may be required to identify occult fractures
Management
- Short arm thumb spica splint
- Ortho referral
Disposition
- Discharge