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FX CARPIANAS

Template language:English

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Science notesScience notes

About

The FX CARPIANAS mind map is a comprehensive clinical guide for diagnosing and treating carpal fractures, featuring 289 nodes of detailed medical data. It specifically addresses the high incidence of Scaphoid fractures (78.8%) and Triquetrum fractures (13.8%), providing a structured approach to wrist trauma. This FX CARPIANAS template covers the 'Mecanismo lesional' (injury mechanism), typically involving falls on an extended hand, and details the critical 'Arcos de Gilula' (Gilula Arches) used for radiographic assessment. The cheat sheet outlines specific recovery timelines, noting that non-displaced fractures of the distal pole or waist consolidate in approximately 10 weeks, while proximal pole fractures require up to 6 months. It also includes surgical protocols involving cannulated screws like the Acutrax system for compression and stabilization.

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Terms and Conditions

When to use this template

Orthopedic surgeons and radiology residents

Reviewing radiographic findings for a patient with acute wrist trauma and suspected carpal instability

Medical students and surgical trainees

Studying for medical board exams or orthopedic specialization tests regarding hand anatomy and fracture incidence

Physiotherapists and hand therapists

Developing a post-operative rehabilitation and casting plan for a scaphoid fracture patient

How to use this template

Step 1

Navigate by fracture type

Open the .xmind file and expand the 'Fracturas del carpo' branch to select the specific bone, such as the Scaphoid or Triquetrum.

Step 2

Review diagnostic criteria

Consult the 'Arcos de Gilula' and 'Clinica' nodes to compare patient symptoms and X-ray results against the template's standards.

Step 3

Customize treatment protocols

Edit the 'Tto' (Treatment) nodes to include specific hospital guidelines or preferred surgical hardware used in your clinical practice.

Frequently asked questions

The template identifies 'Caida sobre mano extendida' (falling on an extended hand in dorsiflexion) as the primary mechanism. This action generates compressive and shear forces, where the severity of the lesion depends on the deviation and angle of support at the moment of impact.

The 'Arcos de Gilula' section describes three specific arcs: Arc 1 (proximal articular facets), Arc 2 (distal articular facets of the first row), and Arc 3 (articular facets of the capitate and hamate). These are essential for checking carpal alignment during X-ray reviews.

The template specifies the use of 'tornillos canulados' (cannulated screws) such as the Acutrax system. These are typically inserted from the distal pole toward the proximal pole to provide compression, particularly for scaphoid fractures.

According to the mind map, non-displaced fractures in the distal pole or waist consolidate in about 10 weeks, whereas fractures in the proximal pole are more complex and take approximately 6 months to heal.

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