Incidence of Wrist Injurys Include Diagnosis of Scaphoid Fracture

Abstract

          Wrist Injurys was also most common problems because when patient had accidents and fall down, In nature the patients always fall on the outstretched hand caused injury of wrist and hand, Sometimes wrist injury was mild to moderate injurys: Contusion wrist or Wrist sprain etc,. And severe injury: Fracture wrist and hand esp. Distal Radius fracture was the most common fracture and less common carpal bone fracture. One of the most common carpal bone fracture was Fracture of scaphoid was the second most common fracture in Wrist fracture but had problem of missed diagnosis initial or delayed diagnosis could caused problem of delay union , nonunion of fracture and Osteoarthritis ofWrist Joint. This study reviewed and audited OPD and IPD card of patients diagnosis wrist injury from 1/01/2004 to 30/04/2006 in Chiangmaiklaimor Hospital Chiangmai Thailand. Total number of wrist injurys 272 cases. Incidence ofwrist sprain was 27.2% male:female 2.3:1, Contusion wrist 20.9% male:female 1.5:1, Wound of wrist 5.1% male:female 6:1, Distal Radius fracture was 31.5% male:female 1.8:1, Fracture distal radius and distal ulna 7.7% male:female 3.2:1, Fracture distal ulna 1.8% male:female 4:1, Fracture Pisiform 0. 37%, Fracture hook of Hamate 0.37%, Fracture Scaphoid 5% male:female 1.6:1, But missed diagnosis fracture scaphoid on initial examination 77%(10/13 cases), 23% (3/13 cases) was first diagnosis on initial examination by Orthopedic Surgeon two patients, and onepatient by General practice physician.