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.
|Published (Last):||28 March 2005|
|PDF File Size:||11.38 Mb|
|ePub File Size:||13.79 Mb|
|Price:||Free* [*Free Regsitration Required]|
Fratura do escafoide – Wikipédia, a enciclopédia livre
Case 12 Case A dedicated plain radiographic series investigating the scaphoid exists, consisting of four projections of the scaphoid bone. The major complication of scaphoid fractures is non-union or malunion leading to instability and secondary osteoarthritic change. The usual mechanism is falling on an outstretched hand with resultant hyper-extension of the wrist or purely compressive force 7.
Read it at Google Books – Find it at Amazon. The bone profile is thought to look like a boat or skiff.
Bone scans will be most sensitive days following the injury. If these repeat films are negative also, then MRI or bone scan if MRI is unavailable should be recommended if clinical suspicion persists 1.
In addition to stating that a fracture is present, a number of features should be sought and commented upon:. 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. To quiz yourself on this article, log in to see multiple choice questions.
Intrathoracic fracture-dislocation of the humerus – case report and literature review.
An occult fracture will appear as a region of increased uptake, whereas avascular necrosis will demonstrate a photopaenic region at the lower pole of the scaphoid. It is positionally different from the wrist series.
Older patients falling in a similar manner are more likely to sustain a distal radial fracture usually a Colles fracture. Case 10 Case It is also useful in assessing for avascular necrosis.
The patient underwent a joint procedure escxfoide a cardiothoracic surgery team to remove the humeral head through thoracotomy and chest drainage; subsequently, a partial arthroplasty of the humerus was performed, with graft from the humeral head and fixation of forearm fractures.
Although bone scans are more sensitive than plain film, they are usually reserved for patients with sscafoide pain despite normal serial plain films 8, Articles Cases Courses Quiz. She was rescued on site with thoracic, pelvic, and right upper limb trauma.
After three months, all fractures were healed with gradual functional improvement.
Case 2 Case 2. About Blog Go ad-free.
Fractures can occur essentially anywhere along the scaphoid, but distribution is not even Those associated with intrathoracic dislocation are very rare conditions, resulting from high-energy trauma; usually, the affected limb is in sscafoide abduction position.
Case 9 Case 9. Conservative treatment was chosen for the other fractures. Synonyms or Alternate Spellings: Carpal navicular fracture Scaphoid fractures Carpal navicular fractures Scaphoid bone fractures Scaphoid bone fracture Fracture of scaphoid bone Scaphoid fx.
Log in Sign up. If AVN develops the first sign will be slight sclerosis. Case 17 Case The authors present the case of a patient female, aged 56 years, who was hit by motorcycle and thrown approximately 5 meters away. With time the fraturaa part undergoes osteonecrosis, becomes increasingly sclerotic and can ‘implode’ and fragment with secondary osteoarthritic changes 9.
Case 14 Case