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Wrist Pain “Snuff Box” Tenderness Findings? Course of Action / Confirmation Studies?
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Scaphoid Fracture (Occult)
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  • Initial Radiographs showed a questionable fracture of the scaphoid waist, in a patient who is symptomatic in that area
  • MRI and bone scan confirmed scaphoid fracture present (alternatively, re-examine after 2 and 6 weeks in short-arm-splica cast)
  • Most frequent (90%) carpal fracture, missed from 25-65% of time!
  • Prognosis depends on location of Fx: 90% nonunion it Fx involves proximal 1/3
  • Complications: AVN, degenerative arthritis
These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.