A scaphoid fracture is a break of the scaphoid bone in the wrist. Scaphoid fractures are most commonly caused by a fall on an outstretched hand. The fracture may be preventable by using wrist guards during certain activities. People with scaphoid fractures generally have snuff box tenderness. Focal tenderness is usually present in one of three places: 1 volar prominence at the distal wrist for distal pole fractures; 2 anatomic snuff box for waist or midbody fractures; 3 distal to Lister's tubercle for proximal pole fractures. Avascular necrosis AVN is a common complication of a scaphoid fracture.
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Ci-dessous vous pouvez lire une traduction de traducteur humain en anglais. We chat with Dr. For the most part, scaphoid fractures have their origin in sudden falls or intense and sudden flexions of the hand.
For this reason, they are common in the practice of sports prone to this type of scenario -football, basketball, handball, etc. We could say that any strong activity involving impact on hand-risk may cause a fracture of the scaphoid. In fact, its incidence decreases as the age of the patients increases. This kind of fracture has two fundamental problems.
Imagine that you are 18, 20 years old and you suffer a blow to the wrist, at that age we endure almost everything …. The pain appears, continues for a few days, but they put a splint or an immobilization bandage -maybe even your own sports coach- and the discomfort subsides. The undetected fracture unleashes processes in the joint that, if not addressed, will eventually lead to early arthrosis or scaphoid pseudoarthrosis. Serious problems The only solution for a scaphoid pseudoarthrosis is to operate it, since the bone has lost its intrinsic ability to heal.
Precisely because of the healing difficulties I told you, nowadays most scaphoid fractures are treated surgically. It is a delicate operation, which requires technical expertise, since the situation of the bone leaves little margin for error. In a brief description, what we do is reduce the fracture in the most perfect way possible, through arthroscopy.
We place the bones in the original position, to then insert a surgical screw that allows the break to weld. This screw gives sufficient stability to the area, so that -in normal conditions- the patient can have mobility already from the day after the operation. It is one of the great advantages of treatment with surgery, especially in patients who need to reduce recovery times due to work, sports practice, etc.
Therefore, operating not only do we get higher rates of consolidation of the scaphoid fracture, but we eliminate the need to wear plaster. We must bear in mind that the plaster could mean a recovery period of three months. As we have pointed out before, scaphoid injuries have a special incidence in those who practice contact sports, especially at a professional level.
Football players are included in this segment. The injury of the Cantabrian striker, caused by a ball impact, had occurred two days before. His return to the fields took place just over a month and a half later, on February It is located in the carpus, a composition of eight bones arranged in two rows of four, whose function is to facilitate the connection between hand and forearm and, therefore, allow its movements.
Dr, why does the scaphoid break? Carpus, large left bone capitate bone. The scaphoid appears under the name of navicular bone navicular, left. Partagez cette histoire, choisissez votre plate-forme!
Classifications des fractures et pseudarthroses du scaphoïde carpien
The authors report two cases of concomitant scaphoid and distal radial fractures, a rare combination of lesions in children. The first case was in a year-old boy who presented a midscaphoid fracture associated with a distal forearm fracture. The second case concerned a year-old boy who presented a midscaphoid fracture associated with a Salter type II distal radial fracture. Both fractures were reduced under general anaesthesia. Associated scaphoid fractures should be suspected with all types of distal forearm injuries in children. Reduction of the radius fracture should be done carefully to avoid possible displacement of the scaphoid fracture.
Ci-dessous vous pouvez lire une traduction de traducteur humain en anglais. We chat with Dr. For the most part, scaphoid fractures have their origin in sudden falls or intense and sudden flexions of the hand. For this reason, they are common in the practice of sports prone to this type of scenario -football, basketball, handball, etc.
Fracture du scaphoïde