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General Reference ⬇

(Phys Sportsmed 1996;24[8]:60)

Signs and Symptoms ⬆ ⬇

Sx:Fall on outstretched hand

Si:Tender snuff box w thumb extended; pain w axial compression and w resisted wrist pronation

Complications ⬆ ⬇

Avascular necrosis

Lab and Xray ⬆ ⬇

Xray:Fracture, distal, waist or proximal types

Treatment ⬆

Rx:

if no fx but painful, thumb spica × 2 wk, then re-xray; if still neg but still sx and suspicious, then CT or bone scan

Surgery for waist or proximal types

Thumb spica × 6-8 wk for distal types