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Fractures in the distal third are rarely complicated by AVN. Non union can also occur from undiagnosed or undertreated scaphoid fractures. Arterial flow to the scaphoid enters via the distal pole and travels to the proximal pole. This blood supply is tenuous, increasing the risk of nonunion, particularly with fractures at the wrist and proximal ...
Wrist osteoarthritis is gradual loss of articular cartilage and hypertrophic bone changes (osteophytes). While in many joints this is part of normal aging (senescence), in the wrist osteoarthritis usually occurs over years to decades after scapholunate interosseous ligament rupture or an unhealed fracture of the scaphoid.
The management and treatment of SLAC wrist depends on the stage at the time of diagnosis. The options for management can be separated into two broad categories: non-surgical and surgical. Less advanced SLAC wrist may be managed initially with non-surgical options including nonsteroidal anti-inflammatory drugs , wrist splinting , and steroid ...
The scaphoid can be slow to heal because of the limited circulation to the bone. Fractures of the scaphoid must be recognized and treated quickly, as prompt treatment by immobilization or surgical fixation increases the likelihood of the bone healing in anatomic alignment, thus avoiding mal-union or non-union. [6] Delays may compromise healing.
The Herbert classification is a system of categorizing scaphoid fractures. [1 ... Oblique/distal third B2 Displaced waist B3 Proximal pole B4 Fracture dislocation ...
Chauffeur's fracture, also known as Hutchinson fracture, is a type of intraarticular oblique fracture of the radial styloid process in the forearm. [1] The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process of the distal radius. It can be caused by falling onto an outstretched hand.
It is a tragic measure of his moral injury that Joseph may have felt the only way to end his pain was with reckless speed. Certainly he needed professional help, steady, insightful and caring. The VA has acknowledged its shortage of mental health therapists, and has hired 1,600 additional therapists in the past two years, but long waiting lists ...
In part, these include severe sacroiliac pain with transient “pain paralysis” (of one or both legs), [61] transient respiratory distress, [61] a significant adverse cardiovascular event, [62] spinal fracture with hemothorax, [63] lower extremity fracture, [64] [65] glenoid fracture, [66] shoulder dislocation, [67] and pseudoaneurysm.