Complaints with scaphoid fracture A healing of the scaphoid fracture can be achieved with surgery or without surgery. How the fracture is treated depends on the type of fracture itself. Fractures in the distal two thirds can be treated conservatively. The distal third is immobilized for about 6-8 weeks. The middle third should be immobilized … Symptoms of a scaphoid fracture – How to recognize it!
Synonyms in a broader sense Scapholunary dissociation, scaphoid dislocation, ligament injury of the carpus, distal radius fracture, hand injury Definition In scapholunar dissociationSLD, external force is used to injure the ligaments in the carpal area between the scaphoid bone (Os scaphoideum, formerly Os naviculare) and the lunate bone (Os lunatum). Cause Scapholunar dissociationSLD is the … Scapholunar dissociationSLD
Diagnosis The first measure is the clinical examination of the wrist. There should be specific tests (Watson’s shift test) to determine whether SLD can be diagnosed with certainty. As a further measure, an x-ray of the wrist will be performed in two planes. A third degree scapholunar dissociationSLD can be diagnosed by the extended distance … Diagnosis | Scapholunar dissociationSLD
Prognosis The prognosis of a scapholunar dissociation cannot be given in general terms, but must be made dependent on the respective extent and concomitant injuries. It is important to notice the injury early. If the diagnosis is made immediately, the injury can heal stably and sustainably within 6 weeks with conservative therapy and consistent immobilization. … Prognosis | Scapholunar dissociationSLD
Therapy Like all fractures, the scaphoid fracture can be treated conservatively in a plaster cast or by surgery. The indication for a conservative approach are non-displaced scaphoid fractures. Due to the very slow healing of the fracture, the duration of the plaster therapy is extremely long. For the first 6 weeks an upper arm plaster … Therapy of a scaphoid fracture
Prognosis The prognosis is favorable with operative and conservative therapy. Nevertheless, there are therapy failures in both forms of therapy, i.e. bone fractures do not heal. An untreated scaphoid fracture generally ends in the formation of a false joint (pseudarthrosis), which can be painless and can only cause problems years after the fall. It should … Prognosis | Therapy of a scaphoid fracture
Introduction A scaphoid fracture is the fracture of one of the carpal bones, which topographically forms the ball of the hand. The healing of a scaphoid fracture is often difficult because this small bone is fed by a relatively poor blood supply. Thus, the scaphoid is not supplied from the middle of the body, but … Healing of a scaphoid fracture
Synonyms in a broader sense Scapholunary dissociation Scaphoid luxation Ligament injury of the wrist Distal radius fracture Hand Injury There are these possibilities of therapy In principle, scapholunar dissociation can be treated both conservatively and surgically. The conservative therapy is a treatment method for slight displacements of the scaphoid and lunar bone, if there are … Therapy of scapholunary dissociationSLD
When does one need surgery? In scapholunar dissociation there are many different manifestations of the disease. A fall or a violent impact damages the ligaments of the carpal bones, allowing them to emerge from their rigid skeleton. If the small carpal bones leave their anatomical place, one speaks of a dislocation. If, however, in addition … When does one need surgery? | Therapy of scapholunary dissociationSLD
Note You are here in the sub-theme Therapy of Scapholunary Dissociation. For general information on this topic, see Scapholunary Dissociation (SLD). Complications The complication of untreated or overlooked (1° and 2° injuries are often difficult to diagnose) scapholunar dissociationSLD is the development of osteoarthritis. Due to the unfavorable position of the individual carpal bones against … Note | Therapy of scapholunary dissociationSLD
Synonyms in a broader sense Scaphoid fracture Fracture of the scaphoid Fracture of the Os scaphoideum (formerly Os naviculare) Scaphoid pseudarthrosis Fracture carpal bone Scaphoid pseudarthrosis Hand Injury Definition Scaphoid fracture The scaphoid fracture is the most common fracture in the carpal area. In most cases, a fracture of the scaphoid bone (Os scaphoideum) occurs … Scaphoid fracture – Scaphoid fracture
Introduction The scaphoid fracture is divided into two categories: The scaphoid is divided into three thirds. 5 % of all fractures affect the third far from the wrist (distal third), 80 % affect the middle third and about 15 % affect the third near the wrist (proximal third). Due to the blood flow situation, proximal … Introduction | Scaphoid fracture – Scaphoid fracture
