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    Scaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Scaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Scaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook125 pages1 hour

    Scaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Scaphoid fracture is a medical disorder that is a carpal bone most frequently fractured.
    The scaphoid is normally fractured as a result of hyperextension of the wrist, often from falls onto the outstretched hand
    The diagnosis of fracture displacement or instability is:
    1. Translation or gap at the fracture site ≥1 mm on any x-ray view
    2. Larger than 15° dorsal angulation of the lunate compared with the radius
    3. Carpal height ratio of the involved side less than the other side by at least 0.03
    4. Scaphoid length >1 mm smaller than the contra-lateral side
    Scaphoid fractures are normally associated with other injuries of the wrist such as:
    1. Dislocation of the radiocarpal joint,
    2. Dislocation between the 2 rows of carpal bones,
    3. Fracture-dislocation of the distal end of the radius,
    4. Fracture at the base of the thumb metacarpal, and
    5. Dislocation of the lunate.
    The radiocarpal fracture-dislocation may induce the entrapment of the ulnar nerve and artery.
    About 10% present with a related fracture.
    A scaphoid fracture occurs when the patient break the scaphoid bone.
    1. Type A fractures are stable acute fractures, including
    a. Fracture of the tubercle (A1) and
    b. Incomplete fractures of the scaphoid waist (A2).
    2. Type B fractures are unstable and include:
    a. Distal oblique fractures (B1),
    b. Complete fracture of the waist (B2),
    c. Proximal pole fractures (B3), and
    d. Trans-scaphoid perilunate fracture dislocation of the carpus (B4).
    3. Type C fractures are characterized by delayed union.
    4. Type D fractures are characterized by established nonunion and either:
    a. Fibrous union (D1) or
    b. Pseudarthrosis (D2).
    Occasionally, a direct blow to the palm of the hand can produce a scaphoid fracture.
    Sometimes, the repeated stress on the scaphoid bone can result in a fracture.
    This can happen in gymnasts and shot putters
    1. There will be pain around the wrist area after the injury.
    2. There may also be some bruising or swelling around the wrist on the involved side.
    Special scaphoid view X-rays taken with the hand and wrist in a certain position may help to show up a scaphoid fracture.
    If a non-displaced scaphoid fracture is confirmed on X-ray or is suspected, it is normally treated by putting the arm in a cast actually made of fiber glass up to the elbow.
    If a scaphoid fracture is displaced, surgical treatment is always advised.
    A small screw or a special pin is placed into the scaphoid bone to keep the bone fragments together in the correct position.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Scaphoid Fracture
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment
    Chapter 6 Prognosis
    Chapter 7 Hand Injuries
    Chapter 8 Claw Hand
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 21, 2016
    ISBN9781370659623
    Scaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Scaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Scaphoid Fracture,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2016 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Scaphoid Fracture or Dislocation, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Scaphoid Fracture or Dislocation)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Scaphoid Fracture

      I had a teenager boy who was brought by his father to consult for a painful protrusion on his right wrist after playing rugby.

      He was pushed by another boy against his right hand while trying to tackle him.

      His hand felt painful and he noticed the protrusion on his wrist near the thumb site of his wrist so he called his father for help.

      Because he was in pain, I administered a local anesthetic around the painful protrusion to relieve the pain and also to palpate the protrusion.

      The swelling felt like a dislocated scaphoid which is rare but possible.

      With the family’s permission I pulled to extend his wrist and slowly pressed gently on the swelling to press it down into the space in the wrist.

      Fortunately it went down easily.

      When it is flat I put a tight pad on the injured area and bandaged it tightly.

      The boy did not feel any pain.

      I then sent him to nearest x-ray clinic for an x-ray (2 views) of his right wrist.

      The results came back with a favorable result.

      The scaphoid was normal as were all the bones of the wrist.

      There was no evidence for any fracture.

      His wrist movements were normal.

      He was given some pain killers and kept his wrist bandaged for 2 weeks.

      He was also advised against any vigorous exercises and to avoid contact sports.

      2 weeks later he had another x-ray of the wrist to ensure any complications or any presence of delayed fractures.

      The x-rays were normal and his wrist was able to flex and extend normally.

      He was advised to continue wearing a wrist bandage and also to exercise slowly his wrist to rehabilitate his wrist muscles.

      Since then he had no problem with his wrist.

      What is a Scaphoid fracture?

      Scaphoid fracture is a medical disorder that is a carpal bone most frequently fractured.

      The scaphoid is normally fractured as a result of hyperextension of the wrist, often from falls onto the outstretched hand.

      The scaphoid is wedged between the radius and the surrounding carpal bones, especially the capitate.

      The diagnosis of fracture displacement or instability is:

      1. Translation or gap at the fracture site ≥1 mm on any x-ray view

      2. Larger than 15° dorsal angulation of the lunate compared with the radius

      3. Carpal height ratio of the involved side less than the other side by at least 0.03

      4. Scaphoid length >1 mm smaller than the contra-lateral side

      Scaphoid fractures are normally associated with other injuries of the wrist such as:

      1. Dislocation of the radiocarpal joint,

      2. Dislocation between the 2 rows of carpal bones,

      3. Fracture-dislocation of the distal end of the radius,

      4. Fracture at the base of the thumb metacarpal, and

      5. Dislocation of the lunate.

      The radiocarpal fracture-dislocation may induce the entrapment of the ulnar nerve and artery.

      About 10% present with a related fracture.

      Scaphoid fractures are the most frequent fractures of the

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