Page 1 of 1: # scaphoid?

drada · Credits: 45712 My Scrapbook My Reading List 2 Books

for a diagnosed case of # scaphoid..

a]repeat x-ray after 1 week

b]rpt x-ray after 2 wks

c]rpt x-ray after 2 months

d]not needed at all

BRAVO · Credits: 45704 My Scrapbook

rpt x-ray after 2 wks

drada · Credits: 45712 My Scrapbook My Reading List 2 Books

after 2 wks

drada · Credits: 45712 My Scrapbook My Reading List 2 Books

after 2 wks

netvista · Credits: 341 My Scrapbook

yes after 2 weeks, it will not show up initially in unless it is a displaced fracture..but don't wait for a positive xray go ahead and treat in a thub spica for 6weeks anyway (also note this bone is notorious for avascular necrosis)

DrJayKill · Credits: 2554 My Scrapbook

Radiographs. Routine radiographs of the scaphoid include anteroposterior (AP), lateral, and oblique (45° from horizontal) views. The AP view is done with the fist mildly clenched and the wrist in ulnar deviation. (An AP view with a tightly clenched fist and ulnar deviation can be ordered to screen for ligament injury.) The lateral view is done with the wrist in neutral position. When the scaphoid is injured in the normal wrist, the lateral view shows a line of concentric arcs formed by the distal radius, lunate, and capitate. The longitudinal axis of these bones should be collinear. Disruption of this alignment suggests a ligament injury or dislocation, displacement, or angulation of a fracture.

If radiographs are negative despite clinical suspicion of a scaphoid fracture, the patient's wrist is immobilized and radiographs are repeated in 2 weeks. If plain films continue to be negative but clinical suspicion remains, further imaging should be pursued. Bone scan and computed tomography have been used with about equal accuracy to detect occult fractures. Polytomography and magnetic resonance imaging (MRI) can also be used though they are more expensive. MRI can demonstrate much more Anatomy and, because of increasing affordability, may soon become the standard for visualizing occult fractures and ligament disruptions.

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