Signs
1. Volar or dorsal angulation
Management: Reduction
1. Anesthesia: Digital Block or Hematoma Block
2. Reduce by traction and manipulation of finger
Management: Post-Reduction of Fracture
1. Immobilization after successful reduction
  1. Dorsal aluminum splint in extension for 6 weeks, then
  2. Buddy taping for an additional 6 weeks
2. Post-Reduction Assessment
  1. Evaluate for even subtle rotation
  2. Methods
    1. Repeat finger XRay
    2. Flexed fingers should all point to Scaphoid
3. Orthopedic referral indications
  1. Joint surface involved >30%
  2. Inadequate Fracture reduction (e.g. rotation)

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 2/5/2012.

This is one of 5663 pages in the Family Practice Notebook

Family Practice Notebook

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