• Am J Emerg Med · Jul 2001

    Review Case Reports

    Orthopedic pitfalls in the ED: scaphoid fracture.

    • A D Perron, W J Brady, T E Keats, and R E Hersh.
    • Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA. adp9b@virginia.edu
    • Am J Emerg Med. 2001 Jul 1;19(4):310-6.

    AbstractWrist injuries are frequently encountered in the emergency department. When a patient presents with such an injury, the possibility of scaphoid fracture must be at the top of the differential for the emergency practitioner. Unfortunately, these injuries can be missed on first presentation, as they are frequently radiographically occult. When left unrecognized and untreated, these injuries lead to a high incidence of long-term functional disability and chronic pain. The emergency physician needs to be vigilant for scaphoid fracture and be aggressive in both its diagnosis and treatment to avoid this practice pitfall. This review examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency physician.

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