Fracture of scaphoid is quite common. The bone fractures through the waist at right angles to it’s long axis. The fracture is caused by a fall on the outstretched hand, or on the tips of the fingers.
•This causes tenderness and swellings in the anatomical snuffbox and pain on the longitudinal percussion of the thumb and index finger. The importance of the fracture lies in its liability to non-union, and avascular necrosis of the body of the bone with pain in anatomical snuffbox
•scaphoid has two nutrient arteries, one entering the palmar surface of the tubercle and the other the dorsal surface of the body.
•It may be treated on the lines of osteoarthritis.
•Dislocation of the lunate may be produced by a fall on the acutely dorsiflexed hand with the elbow joint flexed. The displaces the lunate anteriorly also leading to carpal tunnel syndrome like features
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Yes I have positive reviews about fracture of scaphoid.
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Scaphoid fractures may present as challenging problems in practice, but a systematic and deliberate approach can facilitate optimal results.
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