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Volume: 38
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Index: December 2010
Clinical Focus:Respiratory Care
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December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
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    • Exercise-induced bronchospasm
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    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
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    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
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doi: 10.3810/PSM.2009.04.1688
The Physician and Sportsmedicine: Volume 37: No.1
Clinical Examination of Scaphoid Fractures
Darryl K. Young, MD, FRCS(C) And Alan Giachino, MD, BPHE, FRCS(C)
Abstract: Undetected scaphoid fractures may lead to complications, including nonunion, malunion, avascular necrosis, and wrist arthritis. A competent physical examination is essential for the diagnosis of scaphoid fractures in the setting of occult fractures presenting with normal radiographs. The differential diagnosis of occult scaphoid fractures includes acute tears of the scaphoid-lunate ligament, Kienbock’s disease, occult ganglion, nondisplaced radial styloid fractures, and injury to the radial aspect of the radio-scapho-capitate ligament. All of these may have normal plain radiographs but often can be distinguished based on physical examination findings. The 2 key points of such an examination include the exact location of point tenderness and provocative special tests. Although Watson’s scaphoid shift test is classically described for scaphoid instability, we highlight its significance in the setting of scaphoid fractures.

Keywords: scaphoid; wrist; fracture; trauma; physical examination


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