Flashcards in Anatomical Snuffbox Deck (5):
What are the contents of the anatomical snuffbox?
The radial artery (runs across the floor), a branch of the radial nerve (runs along the roof) and the cephalic vein
What are the five borders of the anatomical snuffbox?
Medial - extensor pollicis longus
Lateral - extensor pollicis brevis and abductor pollicis longus
Proximal - styloid process of the radius
Roof - Skin
Floor - Scaphoid and trapezium
What happens in a fracture of the scaphoid?
Most commonly fractured carpal bone
FOOSH: hyperextension and radial deviation of the wrist
65% waist fractures, 25% proximal, 10% distal
Pain over the anatomical snuff box and base of thumb
What are the appropriate investigations and management options in scaphoid fractures?
Imaging: X-RAY AP, lateral and scaphoid views
May not be visible initially - re X-ray at 2 weeks
Non-operative: thumb spica cast immobilisation for stable non-displaced or if high clinical suspicion
Operative: ORIF vs percutaneous screw fixation