Trauma in more then 90 degrees of Hyperextension
and 10 d. of radial Deviation
Diagnosis: Physical Examination
Tenderness in the “anatomic snuffbox”
Decreased range of motion
Pain with dorsiflexion (Swelling)
Diagnosis: conventional radiology
MONTHS LATER: NON UNION
Diagnosis: CT
Scaphoid Bone Fractur: NON UNION (PSEUDOARTHROSIS)
Classification
Diagnosis
Any contact-sport athlete who as radial wrist pain should be considered to have a scaphoid fracture until proven otherweise
In cases of clinical suspicion MRI studies is necessary
Treatment If the fracture are stable
Cast until healed : 3 month
Cast plus use of a playin cast/splint
Operation with internal fixation
If the fracture are instable
Operation with internal fixetion
Treatment for profesional athlete
Open reduction and and internal fixation Advantage
Return to sport after 6 weeks (with cast 10-12 w)
Less rate of non-union
Diagnosis: Physical Examination
MONTHS LATER:
scafolunato 