Lunate fracture: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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*Occurs via FOOSH mechanism | *Occurs via FOOSH mechanism | ||
*Blood supply enters distal end | *Blood supply enters distal end | ||
*Fracture puts proximal portion at risk for avascular necrosis (Kienbock’s disease) | *Fracture puts proximal portion at risk for [[avascular necrosis]] (Kienbock’s disease) | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 22:08, 24 December 2016
Background
- Isolated lunate injuries are rare
- Occurs via FOOSH mechanism
- Blood supply enters distal end
- Fracture puts proximal portion at risk for 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
- Outpatient