Scaphoid Fracture
Age: years old
Gender:
HISTORY:
Presents with a wrist pain following an injury ago
Mecanism of injury:
Location is
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: , , ,
EXAM:
Wrist:
Inspection:
Palpation: on ,
Range of motion:
- Flexion:
- Extension:
- Ulnar deviation:
- Radial deviation:
Strength: , except on
Neurovascular: , pulses , cap refill sec, sensation
Special tests:
- Finkelstein test:
- Grind test:
- Phalen test:
- Tinel sign:
ASSESSMENT:
DDx: wrist sprain, distal radius fracture, scaphoid fracture, ulnar styloid fracture, carpal bone fracture, distal ulna fracture, ligamentous injury, triangular fibrocartilage complex injury, pathologic fracture, osteoporosis
PLAN:
Investigations:
- X-ray of the wrist + scaphoid
- CT scan of the wrist
Treatments:
- Splint
- Cast
- Rest, ice, elevation
-
-
-
-
-
- if osteoporosis
Further care:
- Referral to orthopedic surgeon
- Follow-up in with repeat X-ray
- Return if pain worsens
HISTORY: Associated symptoms: EXAM: Wrist: ASSESSMENT: PLAN: