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Learn about commonly missed carpal bone injuries - the 'Big 4'. Discover key historical, physical exam, and x-ray findings, along with management strategies. Explore high-energy carpal injuries in young individuals and the importance of prompt reduction. Dive into the diagnosis and treatment of carpal bone injuries, with a focus on hook of hamate fractures. Uncover the debate on diagnostic tests for wrist injuries and the introduction of a donation button for supporting free access content.
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Quick takeaways
- Triquetrum, scapholunate, hamate, and scaphoid fractures are commonly missed wrist injuries with severe consequences.
- A patient's age, tissue quality, and energy levels influence the likelihood of specific carpal bone fractures.
Deep dives
Expert insights on carpal bone injuries and risks (Part 1)
In part one of the podcast, initial differential diagnosis construction based on history and physical exams, wrist and hand X-ray interpretation, Barton fractures, and anatomical memory aids for the carpal bones are discussed. The focus is on understanding the surface anatomy, identifying commonly missed and mismanaged carpal bone injuries known as the 'big four': tricoetrial, lunate, hamate, and scaphoid fractures.
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