1 / 12

Scaphoid Fracture Case Study

Scaphoid Fracture Case Study. Joni Canter, MBA, ATC Steadman Hawkins Clinic of the Carolinas South Carolina School for the Deaf and the Blind. Scaphoid Fracture Case Study. CC : R wrist pain

ethel
Download Presentation

Scaphoid Fracture Case Study

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Scaphoid Fracture Case Study Joni Canter, MBA, ATC Steadman Hawkins Clinic of the Carolinas South Carolina School for the Deaf and the Blind

  2. Scaphoid Fracture Case Study • CC: R wrist pain • HPI: 19F RHD basketball player presents with right wrist pain x 1 week s/p fall onto outstretched hand during a game • PMH: deaf student at the SC School for the Deaf & the Blind, no hx of wrist or hand injuries

  3. Physical Exam RUE: No swelling or bruising TTP over anatomic snuffbox Opposition + Thumb extension + Wrist flexion + Wrist extension + Tap test + Assessment: Suspected scaphoid fracture Plan: Splint Ice Refer for x-ray within next 1-2 days Scaphoid Fracture Case Study

  4. Scaphoid Fracture Case StudyInitial Radiographs

  5. Scaphoid Fracture Case Study • Treatment: • thumb spica splint • f/u with Dr. Pappas for surgical evaluation in next 2-3 days

  6. Scaphoid Fracture Case Study • Dr. Pappas Visit: • Assessment: • displaced scaphoid fracture with mild flexion • healing potential reduced given displacement • most reliable option for bone union = surgery

  7. Scaphoid Fracture Case Study • Surgery performed the next day • Procedure: • ORIF with headless compression screw via dorsal approach

  8. Scaphoid Fracture Case Study • 2 week post-op visit: • X-rays: • healing scaphoid fracture in excellent position • Treatment: • thumb spica cast

  9. Scaphoid Fracture Case Study2 wks post-op

  10. Scaphoid Fracture Case Study • 6 week post-op visit • X-rays: • healed fracture • Treatment: • removable thumb spica splint • return to activities as tolerated

  11. Scaphoid Fracture Case Study6 wks post-op

  12. Thank you!

More Related