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Therefore, people with tenderness over the scaphoid (those who exhibit pain to pressure in the anatomic snuff box) are often splinted in a thumb spica for 7–10 days at which point a second set of X-rays is taken. [7] If a minimally displaced fracture was present initially, healing will now be apparent. Even then a fracture may not be apparent.
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.
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The scaphoid is situated between the proximal and distal rows of carpal bones. It is located on the radial side of the wrist, [1]: 176 adjacent to the styloid process of the radius. [2] It articulates with the radius, lunate, trapezoid, trapezium, and capitate. [1]: 176 Over 80% of the bone is covered in articular cartilage. [3]
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. [1] Symptoms include pain, bruising, and rapid-onset swelling. [1] The ulna bone may also be broken. [1] In younger people, these fractures typically occur during sports or a motor vehicle collision. [2]
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However, in about 65% of people older than 55 years, radiologic evidence of OA was present without any symptoms. [38] Armstrong et al. reported a prevalence of 33% in postmenopausal women, of which one-third was symptomatic, compared to 11% in men older than 55 years. [ 37 ]
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