Presentation
History of injury occurred yesterday after sprained his wrist when he used a drill. Clinical examination: swollen, tenderness, limited movement.
Patient Data
A left scaphoid non-displaced fracture is noted.
Distal radioulnar joint suspected injury.
Soft tissue swelling is noted.
Case Discussion
Patients will typically present with pain around the dorsal wrist and/or the anatomical snuffbox after a fall on an outstretched hand.
Scaphoid fractures account for 70-80% of all carpal bone fractures. Although they occur essentially at any age, adolescents and young adults are most commonly affected. Older patients falling similarly are more likely to sustain a distal radial fracture (usually a Colles fracture).