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Physical Exam for Scaphoid Fracture
- Pain in the anatomical snuffbox, especially with ulnar deviation and wrist hyperpronation, indicates a scaphoid fracture.
- This maneuver isolates the scaphoid, increasing sensitivity and specificity.
Scaphoid Fracture Treatment
- Treat scaphoid fractures with a thumb spica splint, even without visible fracture on imaging.
- This is crucial due to the high risk of avascular necrosis and potential long-term disability.
Scaphoid Fracture Prevalence and Risk
- Scaphoid fractures are the most common carpal bone fractures (70%).
- These fractures are susceptible to avascular necrosis due to poor perfusion.