The Upper Hand: Chuck & Chris Talk Hand Surgery Scaphoid 1- Diagnosis and the Dorsal Approach
Mar 1, 2020
Delve into the world of wrist injuries as elite athletes face the daunting scaphoid fracture. Discover advanced imaging techniques that play a crucial role in accurate diagnoses. Learn about the nuances of patient counseling for both operative and non-operative care. The hosts break down the dorsal approach in surgery, sharing practical tips and technical tricks. Comprehensive discussions emphasize the balance between surgical technique and postoperative recovery, ensuring athletes get back to their game.
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Comprehensive Scaphoid Palpation
- Palpating multiple parts of the scaphoid is crucial for diagnosis, including the anatomical snuff box and volar tuberosity.
- Comparing tenderness to the other wrist helps distinguish true injury pain from generalized soreness.
Insurance Impacts Imaging Access
- Consider the patient's insurance coverage when planning advanced imaging for scaphoid injuries.
- Insurance can affect accessibility and affordability of diagnostic imaging.
Cast Over Splints Initially
- Prefer immobilization with a cast over splints for initial management of suspected scaphoid fractures.
- Encourage patients to wear the cast for about three and a half weeks before re-evaluation.