Scaphoid fracture explained
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- Опубликовано: 30 окт 2020
- 06:20 - 06:40 there is a mistake!
Explanation: the fact is that the distal part of the scaphoid has a better supply of blood thus has better healing potential and the proximal pole has a lesser blood supply thus heals poorly and if a fracture happens it has more chances ending up in a pseudoarthrosis ( nonunion).
This is because blood enters the distal pole and moves down to the proximal pole ( closer to the wrist). So waist and proximal pole fractures can be problematic to heal.
This is amazing. I fractured my scaphoid and just had a CT. This really helped me understand so I feel ready to talk to my doctor at the follow up. Plus I'm an architect so the drawings were very helpful.
Thanks! 😁😁☺
Did you get a surgery
@@atharvakorde5468 Actually, no! The CT came back clear for scaphoid fracture, so my doctor changed my diagnosis to a sprain. More than 2 months later, I'm still struggling a bit with pain, though.
I got a hair line waist fracture 2weeks ago and I am in a cast right now
I hope it heals on its own because I don’t want a surgical scar on my hand , I am 24
Why is this channel so underrated 😢????
I have big hopes hahahah :-) :-) ;-)
There are many small but very cool channels out there. I like making the vids when i have time, makes reading and rereading more fun.
Thanks 🙂
Excellent tutorial and drawings!
Thanks!🙂
I had accident and after i go for surgery in scaphoid put 2 screw, ater your video i understood how and what happen to my wrist, thank you for making nice video with full of information. 🙏🙏
Surgery cost pls
@@anilcf it cost me 14000$ SGD
Great video, you explained clearly from the beginning to the end, I only noticed sometimes at the beginning you refered to the Proximal pole as the Distal pole, but it was just for a brief period. I had a fell on my left hand recently, I am glad the ER doctor caught the fracture after he looked more closely to the xrays, now I am in a cast, hope I will soon and nonoperative. Thank you for the video!
Yes there is a mistake, the correction is in the description. Hope you lose the cast fast 🙂!
@@picturemedicine Thank you, can you please help me with a question if you are a orto doc? I have a cast as you know, but they but my thumb in a 90 degree angle, its very straight and I have numbness and burning in the thumb very often, I went to the ER and they said its normal and refused to talk to me more, can you please tell me what to do in this situation? Is it normal for my thumb to be perpendicular with my hand and have this intense burning sometimes? Or is it the cast wrong?
I dont think this pain in the thumb is normal, but they said this is how the thumb should be in the cast even if it has this burning/numbness pain
@@Puya008 I am not an orto doc, sorry 🙂. An advice, if the feeling you are having is constant or if there is discoloration of the thumb then the cast should be adjusted.
@@picturemedicine Thank you anyway, I finally managed to calm my intense pain with a improvised elastic band that pulls my thumb gently towards my body and releases much of the pressure from the cast to my thumb skin/nerves. I am so glad it worked, sad that the ER doctor said its normal and bear with it, because the pain was too intense and excruciating, and it wasn't normal.
Sir u r very good dr.
Tnks😁🙂!
My proximal pole non union went untreated for 1.5 years so had a bone graft (distal radius vascularised bone graft) and screw fix. The fracture line was still visible at the 6 month post operation x-rays but I dont have pain so my doctor said that this is a good indicator of healing but he said it can take up to a year for it to fuse. Its almost been 7 months since surgery now and I still dont have pain but my wrist just doesnt bend back. Is it normal for it to take this long?
Yes, it is normal for the healing to take time.
@@picturemedicine thank you!
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Respective sir thanks for the information I need to contact you sir cuse I face this problem now so please sir
My e-mail is in the description of the channel sir. 🙂
What about if there is a scaphoid fracture and a radial styloid fracture at the same time? That's what I have, its supposedly rare?
You've done the most easily understood video of this that I've seen.
It depends how dislocated it is. If there is more then a few milimeters of dislocation of the styloid it can be fixated with a mini invasive operation.
Also for the scaphoid if there is singnificant dislocation in can be fixated.
That kind of injury requires a hand surgeon to give you all the answers regarding what an operation gives you and what conservative threatment can give.
To cut the story short if there is dislocation more than 2 mm operation should be considerd.
@@picturemedicine Thanks so much for the reply, yes I'm thinking they will probably do surgery, Im wating to hear from them. I read online that fracturing both at the same time is very rare. Not sure why given those bones are fairly close to each other.
Mostly one fractures, yes, but if the force is to great, of course, many bones can fracture at the same time.
The machanism of trauma is very important. It happens more often than you think.
@@picturemedicine Yes, I read that it normally happens with a fall from a ladder or roof, or car accident. I fell while running.
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