Lunate fracture: Difference between revisions
| Line 18: | Line 18: | ||
*Short arm [[thumb spica splint]] | *Short arm [[thumb spica splint]] | ||
*Ortho referral | *Ortho referral | ||
==Disposition== | |||
*Outpatient | |||
==See Also== | ==See Also== | ||
Revision as of 02:31, 9 June 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
Diagnosis
- PA and lateral views
- MRI/CT may be required to identify occult fractures
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Management
- Short arm thumb spica splint
- Ortho referral
Disposition
- Outpatient
See Also
Source
- Tintinalli