Lunate fracture

Revision as of 23:03, 7 February 2012 by Jswartz (talk | contribs) (Created page with "==Background== *Isolated lunate injuries are rare *Occurs via FOOSH mechanism *Blood supply enters distal end; fx puts proximal portion at risk for avascular necrosis ==Clinical...")
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Background

  • Isolated lunate injuries are rare
  • Occurs via FOOSH mechanism
  • Blood supply enters distal end; fx puts proximal portion at risk for avascular necrosis

Clinical Features

  • Axial compression applied along 3rd metacarpal elicits tenderness

Diagnosis

  • PA and lateral views
  • MRI/CT may be required to identify occult fractures

Management

  • Short arm thumb spica
  • Ortho referral

Source

  • Tintinalli
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