(Phys Sportsmed 1996;24[8]:60)
Sx:Fall on outstretched hand
Si:Tender snuff box w thumb extended; pain w axial compression and w resisted wrist pronation
Xray:Fracture, distal, waist or proximal types
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