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Fractures of the scaphoid are common in young males. [22] They are less common in children and older adults because the distal radius is weaker contributor to the wrist and more likely to fracture in these age groups. [7] Scaphoid fractures account for 50%-80% of carpal injuries. [8]
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.
Weight loss and exercise are the most safe and effective long-term treatments, in contrast to short-term treatments which usually have risk of long-term harm. [ 69 ] High impact exercise can increase the risk of joint injury, whereas low or moderate impact exercise, such as walking or swimming, is safer for people with osteoarthritis. [ 68 ]
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.
Many recent, large, well-conducted studies have shown no benefits in reducing fracture risk, cardiovascular disease, cancer prevention, or death from vitamin D supplementation,” Cutler said.
The Eagles and Commanders face off in the NFC championship game. The NFC East rivals are headed for a rubber match.
TMC OA is diagnosed based on symptoms and signs. [8] Radiographs can confirm the diagnosis and the severity of TMC OA. Other diagnoses in this region include scaphotrapezial trapezoid arthritis and first dorsal compartment tendinopathy (De Quervain syndrome) although these are usually easy to distinguish.