PT Snacks Podcast: Physical Therapy with Dr. Kasey Hankins

149. Scaphoid Fractures & the High Cost of Poor Management


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In this episode of PT Snacks podcast, we dive deep into scaphoid fractures, a common yet often mismanaged injury in younger and active individuals. Listeners will learn about the anatomy of the scaphoid bone, the typical mechanisms of injury, common diagnostic challenges, and both conservative and surgical treatment options. We explain the importance of recognizing and adequately managing these fractures to prevent complications like avascular necrosis and non-union. Tune in to enhance your knowledge and clinical skills regarding this significant topic in physical therapy.

00:00 Introduction and Welcome

00:44 Topic Overview: Scaphoid Fractures

01:21 Anatomy of the Scaphoid

03:29 Mechanisms and Risk Factors

04:27 Diagnosis and Imaging

05:11 Differential Diagnosis

05:59 Symptoms and Clinical Examination

06:36 Treatment Options

07:40 Conclusion and Additional Resources

References

  1. Steinmann S, et al. Scaphoid fractures and nonunions: diagnosis and treatment. J Orthop Sci. 2006.
  2. Rhemrev S, et al. Current methods of diagnosis and treatment of scaphoid fractures. Int J Emerg Med. 2011.
  3. Clementson M, et al. Acute scaphoid fractures: guidelines for diagnosis and treatment. EFORT Open Rev. 2020.
  4. Krasin E, et al. Review of the current methods in the diagnosis and treatment of scaphoid fractures. Postgrad Med J. 2001.
  5. Krimmer H, et al. [Scaphoid fractures—diagnosis, classification and therapy]. Unfallchirurg. 2000.
  6. Clementson M, et al. [Scaphoid fractures – Guidelines for diagnosis and treatment]. Lakartidningen. 2019.
  7. Pickrell BB, et al. Update on management of scaphoid fractures. Plast Reconstr Surg. 2024.

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PT Snacks Podcast: Physical Therapy with Dr. Kasey HankinsBy Kasey Hankins, PT, DPT, OCS

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