Capitate fracture: Difference between revisions
(Created page with "==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 ...") |
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==Management== | ==Management== | ||
*Isolated capitate fx requires splint | *Isolated capitate fx requires splint immobilization and early ortho referral | ||
*Capitate fx associated w/ scaphoid fx or dislocations requires surgical treatment | *Capitate fx associated w/ scaphoid fx or dislocations requires surgical treatment | ||
Revision as of 23:54, 7 February 2012
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
Management
- Isolated capitate fx requires splint immobilization and early ortho referral
- Capitate fx associated w/ scaphoid fx or dislocations requires surgical treatment
Images
Source
- Tintinalli