Lunate fracture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Axial compression applied along 3rd metacarpal elicits tenderness | *Axial compression applied along 3rd metacarpal elicits tenderness | ||
==Differential Diagnosis== | |||
{{Carpal fractures}} | |||
==Diagnosis== | ==Diagnosis== | ||
*PA and lateral views | *PA and lateral views | ||
*MRI/CT may be required to identify occult fractures | *MRI/CT may be required to identify occult fractures | ||
==Management== | ==Management== | ||
Revision as of 02:32, 9 June 2016
Background
- Isolated lunate injuries are rare
- Occurs via FOOSH mechanism
- Blood supply enters distal end
- Fracture puts proximal portion at risk for avascular necrosis (Kienbock’s disease)
Clinical Features
- Axial compression applied along 3rd metacarpal elicits tenderness
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Diagnosis
- PA and lateral views
- MRI/CT may be required to identify occult fractures
Management
- Short arm thumb spica splint
- Ortho referral
Disposition
- Outpatient
See Also
References
- Tintinalli