Teachable Moments - orthopaedics

• Cardiology
• Neurology
• OB/GYN
• orthopaedics
• Pediatrics
• Respiratory
• Vascular

SCAPHOID FRACTURE:

• One of the most frequently missed fractures in the ED
  
• Most common carpal fracture.
  
• 10-20% fractures are “occult”
  
• Significant long-term complications:
  o Non-union
  o Avascular necrosis
  
• Complications more common due to the fact the blood supply comes form from the distal end of the bone.
  * The more distal the fracture, the greater risk of complications
  * MR remains the best test for occult fx.