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Scaphoid Fracture Case Study Joni Canter, MBA, ATC Steadman Hawkins Clinic of the Carolinas South Carolina School for the Deaf and the Blind.

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Presentation on theme: "Scaphoid Fracture Case Study Joni Canter, MBA, ATC Steadman Hawkins Clinic of the Carolinas South Carolina School for the Deaf and the Blind."— Presentation transcript:

1 Scaphoid Fracture Case Study Joni Canter, MBA, ATC Steadman Hawkins Clinic of the Carolinas South Carolina School for the Deaf and the Blind

2 Scaphoid Fracture Case Study CC: R wrist pain HPI: 19F RHD basketball player presents with right wrist pain x 1 week s/p fall onto outstretched hand during a game PMH: deaf student at the SC School for the Deaf & the Blind, no hx of wrist or hand injuries

3 Scaphoid Fracture Case Study Physical Exam RUE: No swelling or bruising TTP over anatomic snuffbox Opposition + Thumb extension + Wrist flexion + Wrist extension + Tap test + Assessment: Suspected scaphoid fracture Plan: Splint Ice Refer for x-ray within next 1-2 days

4 Scaphoid Fracture Case Study Initial Radiographs

5 Scaphoid Fracture Case Study Treatment: thumb spica splint f/u with Dr. Pappas for surgical evaluation in next 2-3 days

6 Scaphoid Fracture Case Study Dr. Pappas Visit: Assessment: displaced scaphoid fracture with mild flexion healing potential reduced given displacement most reliable option for bone union = surgery

7 Scaphoid Fracture Case Study Surgery performed the next day Procedure: ORIF with headless compression screw via dorsal approach

8 Scaphoid Fracture Case Study 2 week post-op visit: X-rays: healing scaphoid fracture in excellent position Treatment: thumb spica cast

9 Scaphoid Fracture Case Study 2 wks post-op

10 Scaphoid Fracture Case Study 6 week post-op visit X-rays: healed fracture Treatment: removable thumb spica splint return to activities as tolerated

11 Scaphoid Fracture Case Study 6 wks post-op

12 Thank you!


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