Orthopedics Book

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Ankle Disorders

Cervicobrachial Disorders

Cervical Spine Disorders

Elbow Disorders

Foot Disorders

Hand Disorders

Hip Disorders

Infectious Disease

Knee Disorders

Lumbar Spine Disorders

Pelvis

Shoulder Disorders

Thoracic Spine Disorders

Wrist Disorders

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Scaphoid Fracture Signs

Aka: Scaphoid Fracture Signs, Snuffbox Tenderness, Scaphoid Tubercle Tenderness
  1. Maneuver 1: Pain over anatomic snuffbox
    1. Technique
      1. Palpate anatomic snuffbox on dorsal wrist
      2. Findings
        1. Localized tenderness
        2. Localized swelling may be present
      3. Exacerbating factors (increase Specificity)
        1. Wrist pronation
        2. Wrist ulnar deviation
    2. Efficacy
      1. Test Sensitivity: 90%
      2. Test Specificity: 40%
  2. Maneuver 2: Pain over Scaphoid Tubercle
    1. Technique
      1. Extend affected wrist with one hand
      2. Palpate Scaphoid tubercle with other hand
        1. Proximal wrist crease and
        2. Extensor carpi radialis
    2. Efficacy
      1. Test Sensitivity: 87%
      2. Test Specificity: 57%

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