Ep 190 Carpal Bone Injuries – The Big 4
16 snips
Jan 2, 2024 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.
AI Snips
Chapters
Transcript
Episode notes
Imaging for Scapho-lunate Injury
- Use clenched fist view to assess for scapho-lunate widening (Terry Thomas sign).
- Widening suggests ligament injury; compare with the unaffected wrist, especially in females.
Lunate Dislocations
- Lunate and peri-lunate dislocations require prompt reduction.
- The lateral X-ray reveals disruption of the normal alignment of radius, lunate, and capitate (three cups of tea).
Dislocation Reduction
- For lunate/peri-lunate dislocation reduction, use traction, recreate the mechanism, and stabilize the lunate.
- Ensure adequate muscle relaxation and compare wrist feel before and after reduction.