Scaphoid Fracture Case StudyJoni Canter, MBA, ATC

Steadman Hawkins Clinic of the Carolinas

South Carolina School for the Deaf and the Blind

Scaphoid Fracture Case Study

CC: R wrist pain

HPI: 19F RHD basketball player presents with right wrist pain x 1 week s/p fall onto outstretched hand during a game

PMH: deaf student at the SC School for the Deaf & the Blind, no hx of wrist or hand injuries

Scaphoid Fracture Case Study

Physical Exam RUE:

No swelling or bruising TTP over anatomic

snuffbox Opposition + Thumb extension + Wrist flexion + Wrist extension + Tap test +

Assessment: Suspected scaphoid

fracture

Plan: Splint Ice Refer for x-ray within

next 1-2 days

Scaphoid Fracture Case Study Initial Radiographs

Scaphoid Fracture Case Study

Treatment: thumb spica splint f/u with Dr. Pappas for surgical evaluation

in next 2-3 days

Scaphoid Fracture Case Study

Dr. Pappas Visit: Assessment:

displaced scaphoid fracture with mild flexion healing potential reduced given displacement most reliable option for bone union = surgery

Scaphoid Fracture Case Study

Surgery performed the next day Procedure:

ORIF with headless compression screw via dorsal approach

Scaphoid Fracture Case Study

2 week post-op visit: X-rays:

healing scaphoid fracture in excellent position Treatment:

thumb spica cast

Scaphoid Fracture Case Study 2 wks post-op

Scaphoid Fracture Case Study

6 week post-op visit X-rays:

healed fracture Treatment:

removable thumb spica splint return to activities as tolerated

Scaphoid Fracture Case Study6 wks post-op

Thank you!