7 jul. As fraturas do escafoide representam 60% a 70 % de todas as fraturas do de fratura do escafoide do que havia sido encontrada nos estudos. Foram diagnosticadas fratura de ossos do antebraço desviada e fraturas do olécrano, do escafoide e dos ramos isquiopúbicos sem desvios. A paciente foi. Exame de imagem demonstrando a fratura do Escafoide.

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Loading Stack – 0 images remaining. Carpal navicular fracture Scaphoid fractures Carpal navicular fractures Scaphoid bone fractures Scaphoid bone frafura Fracture of scaphoid bone Scaphoid fx. Shoulder fracture-dislocations are uncommon.

Scaphoid fracture | Radiology Reference Article |

Case 10 Case Case 7 Case 7. Fractures can occur essentially anywhere along the scaphoid, but distribution is not even She was rescued on site with thoracic, pelvic, and right upper limb trauma. Although bone scans are more sensitive than plain film, they are usually reserved fratra patients with ongoing pain despite normal serial plain films 8, Nas demais fraturas, optou-se por tratamento conservador.

If these repeat films are negative also, then MRI or bone scan if MRI is unavailable should be recommended if clinical suspicion persists 1. Those associated with intrathoracic dislocation are very rare conditions, resulting from high-energy trauma; usually, the affected limb is in an abduction position. The major complication of scaphoid fractures is non-union or malunion leading fraturq instability and secondary osteoarthritic change.


The patient remained in physiotherapy and orthopedic monitoring, having been discharged from the thoracic surgery; in a severe depressive episode, the patient committed suicide after 11 months of the trauma.

Case 6 Case 6. Log in Sign up.

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Thank you for updating your details. Her chest was drained due to pneumothorax and multiple fractures of ribs; she was diagnosed with fracture-dislocation in four parts, with intrathoracic dislocation of the humeral head. Mayo classification of scaphoid fractures. MRI is escafide most sensitive modality for trabecular fractures, and this can detect completely undisplaced fractures, especially in the first 24 hours following injury 9, Case 8 Case 8.

Articles Cases Courses Quiz. It is also useful in assessing for avascular necrosis. CT is useful for staging scaphoid fractures if surgery is considered and when fractures of the carpus are extensive or complex.

Edit article Share article View revision history. CT may be used for diagnosis when plain films are normal because it is readily available and quick Case 14 Case The bone profile is thought to look like esfafoide boat or skiff. This can be on account of the rest of the wrist undergoing demineralisation due to immobilisation, whereas the proximal portion being bereft of blood supply retains its calcium.


The patient underwent a joint procedure with a cardiothoracic surgery team to remove the humeral head through thoracotomy and chest drainage; subsequently, a secafoide arthroplasty of the humerus was performed, with graft from the humeral head and fixation of forearm fractures.

Conservative treatment was chosen for the other fractures. Older patients falling in a similar manner are more likely to sustain a distal escafkide fracture usually a Colles fracture. Bone scans will be most sensitive days following the injury. Check for errors and try again.

Intrathoracic fracture-dislocation of the humerus – case report and literature review.

Occasionally stress fractures are also esscafoide although these are less common, and only usually seen in athletes e. The authors present the case of a patient female, aged 56 years, who was hit by motorcycle and thrown approximately 5 meters away. The usual mechanism is falling on an outstretched hand with resultant hyper-extension of the wrist or purely compressive force 7.

Importantly if no fracture is seen it is essential to recommend repeat x-rays including dedicated scaphoid views in days 1.