S62.009A Unspecified fracture of navicular (scaphoid) bone of unspecified wrist, initial encounter for closed fracture
S62.009B Unspecified fracture of navicular (scaphoid) bone of unspecified wrist, initial encounter for open fracture
PREFERRED PRACTICE PATTERN3
A 25-year-old woman tripped while exiting her tub and fell onto her outstretched hand with her wrist extended. She felt immediate pain, but waited until the next day to seek medical attention. She presented with difficulty moving her wrist in all directions and difficulty gripping objects secondary to worsening pain. She demonstrated mild edema in the wrist and hand. Radiographs showed were negative for a distal scaphoid fracture. Patient was placed in a wrist immobilizer for 3 weeks secondary to pain with a tuning fork and as a precaution. Upon re-examination after 3 weeks patient continued with point tenderness in the snuff box and was sent for a follow-up X-ray. Follow-up X-ray demonstrated a healing fracture line of the scaphoid.
Scaphoid fracture in the middle third or waist (arrow). (From Tintinalli JE, Stapczynski JS, John Ma O, et al. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 7th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Gilula’s arcs are seen shown in this normal patient (A) and in a patient with a scaphoid fracture and perilunate dislocation (B). (From Brunicardi FC, Andersen DK, Billiar TR, et al. Schwartz’s Principles of Surgery. 9th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
A. Preoperative images demonstrate a nonunion of a scaphoid fracture sustained 4 years earlier. B. Postoperatively, cross-sectional imaging with a computed tomography scan in the coronal plan demonstrates bone crossing the previous fracture line. This can be difficult to discern on plain x-rays due to overlap of bone fragments. (From Brunicardi FC, Andersen DK, Billiar TR, et al. Schwartz’s Principles of Surgery. 9th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Any defect in continuity of the scaphoid (carpal bone)
Displaced (scaphoid is moved on either side of the fracture) or nondisplaced (scaphoid has not moved)
Closed (skin is intact) or ...
Log In to View More
If you don't have a subscription, please view our individual subscription options below to find out how you can gain access to this content.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.
AccessPhysiotherapy Full Site: One-Year Subscription
Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.
Pay Per View: Timed Access to all of AccessPhysiotherapy
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.