A physical exam centers on the injured limb. Hand Surgeon ExaminationĪfter taking note of the symptoms, the surgeon inquiries regarding any pertinent family or medical history. These symptoms are typically worse with gripping and wrist motion. Typically the injury occurs after a traumatic event-like a fall. Patients with a scaphoid fracture typically complain of pain, bruising, and swelling. The extrinsic ligaments, note these ligaments may span 2 or more joints. These ligaments are not as dense or as strong as the intrinsic ligaments. The next layer of ligaments lying more superficial than the intrinsic ligaments are the extrinsic ligaments. The most important intrinsic ligaments are the SL (scapholunate) and LT (lunotriquetral) The intrinsic ligaments of the wrist from the top right A and bottom B. Since these ligaments are inside the wrist-they are called intrinsic ligaments. These bones are interconnected with a series of ligaments. The eight bones of the right wrist (carpus) viewed from the front. The wrist is made up of eight carpal bones connecting the forearm to the hand. The ligaments of the wrist are external to the wrist and internal to the wrist. The scaphoid has a particularly poor blood supply and gaining healing of this bone can be difficult-complications with treatment and healing are common. Treatment of these fractures spans from nonoperative treatment in a cast or brace to surgical management. These injuries often masquerade as wrist sprains-and initial radiographs may not reveal the fracture. These fractures are often associated with tenderness on the top of the wrist. The scaphoid (navicular) is one of the proximal carpal bones and may be injured in a fall. A Patient’s Guide to Scaphoid (Navicular) Fracture with Animated Surgical Video Introduction
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