Foosh There It Is
Author: Robert Camarillo, DO, MS
Peer-Reviewer: Will Denq, MD, CAQ-SM
Final Editor: Alex Tomesch, MD, CAQ-SM
A 32 yo M patient presents after a fall from his bike. He braced his fall by extending his right arm to absorb the impact. He complains of persistent pain on his thenar eminence and is able to flex and extend his wrist. He experiences increased pain with axial loading on an extended wrist. Plain films of the patient’s right hand were obtained (image 1).
Image 1. Case courtesy of Heather Pascoe, Radiopaedia.org, rID: 53737
References
[1] Gemme S, Tubbs R. What Physical Examination Findings and Diagnostic Imaging Modalities Are Most Useful in the Diagnosis of Scaphoid Fractures? Annals of Emergency Medicine. 2015;65(3):308-309. doi:https://doi.org/10.1016/j.
[2] Ramasubbu B, Mac Suibhne E, El-Gammal A, Sheehy N, Shields D. Utilising magnetic resonance imaging as the gold-standard in management of suspected scaphoid fractures in the emergency department setting. Irish Medical Journal. 2017;110(2):515. https://pubmed.ncbi.nlm.nih.