???????

1
???????????
2
????????

• ???????????
• ????????????
• ???????

3
??????????????

• ???????????????
• ??????????????
• ?????????????????
• ?????????

???????????
?????????
??????????
??????????
4
FOOSH??????!!

• FOOSHFall On Out-Streched Hand
• ?????????????????????
• 1)???????(Colles??)
• 2)????? Scaphoid Fracture
• 3)??????? Supracondylar Fracture
• 4)????? Radial Head Fracture

5
????? Scaphoid Fracture

• 1530?????(?????????????????????)
• ?????R/O????Scaphoid view???
• ????)American Family Physician, 70 879-884, 2004
  
• Diagnosis and Management of Scaphoid Fractures
  T. GRANT PHILLIPS

???? ?? ???
?Snuff box??? 90 40
?????????? ?? ??
???????? 87 57?
? ???????100!!
???? ???? ?????!!
6
??????? Supracondylar Fracture????? Radial Head
Fracture
??????????????????????!!
nomal
abnomal

• ?????Fat Pad sign????????????!!
• ??Fat pad???????????????Pad??????!!
• Posterior fat pad???????????????????
• ??Pad???????????????

7
FOOSH

• ???????????????????
• ???????????????????????
• FOOSH??????4?????X2?X2
• ?????????R/O????????Scaphoid view????
• ?????????????Fat pad?????
• ????????????????????
• ??????????

8
???

• ??????????????????
• ??????????????????????
• ???????????
• ????????????????
• ??????????????????
• ????????????????????

9
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