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| ==Specific Fractures== | | ==Specific Fractures== |
| {{Carpal fractures}} | | {{Carpal fractures}} |
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| ==Overview==
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| {| width="300" border="1" cellpadding="1" cellspacing="1"
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| ! scope="col" | Carpal Bone
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| ! scope="col" | Mechanism of Injury
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| ! scope="col" | Examination
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| ! scope="col" | ED Management<br>
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| |-
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| | Scaphoid
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| | FOOSH
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| | Snuffbox tenderness;<br>pain w/ radial deviation/flexion
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| | Short arm, thumb spica, in dorsiflexion w/ radial deviation
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| |-
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| | Triquetrum
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| 1. Avulsion fracture: twisting of hand against resistance or hyperextension
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| 2. Body fracture: direct trauma
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| | Tenderness at dorsum of the wrist, distal to the ulnar styloid
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| | Short arm, sugar tong splint
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| |-
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| | Lunate
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| | FOOSH
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| | Tenderness at shallow indentation of the mid-dorsum of wrist, ulnar and distal to Lister tubercle
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| | Short arm, thumb spica splint
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| |-
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| | Trapezium
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| | Direct blow to thumb; force to wrist while dorsiflexed and radially deviated
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| | Painful thumb movement and weak pinch strength; snuffbox tenderness
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| | Short arm thumb spica splint
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| |-
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| | Pisiform
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| | Fall directed on hypothenar eminence
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| | Tender pisiform, prominent at the base of hypothenar eminence
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| | Short arm, volar splint in 30 degrees flexion and ulnar deviation
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| |-
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| | Hamate
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| | Interrupted swing of golf club, bat, or racquet
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| | Tenderness at hook of hamate, just distal and radial to the pisiform
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| | Short arm, volar wrist splint with 4th and 5th metacarpal joints in flexion
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| |-
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| | Capitate
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| | Forceful dorsiflexion of the hand with radial impact
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| | Tenderness over capitate just proximal to the third metacarpal
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| | Short arm, volar wrist splint
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| |-
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| | Trapezoid
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| | Tenderness over radial aspect of base of index metacarpal
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| | Short arm thumb spica splint
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| |}
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| == Imaging == | | == Imaging == |
