This is a basic article for medical students and other non-radiologists
Fall onto an outstretched hand (FOOSH) is a very common presentation across all ages. It occurs following sporting injuries, or simply after a fall.
Summary
-
assessment
- history
- bimodal age and sex presentation
- young patients - high energy trauma
- older patients - lower energy, e.g. simple fall
- did anything precipitate the fall, e.g. seizure, cardiac event, loss of consciousness
- bimodal age and sex presentation
- examination
- variety of injuries following FOOSH
- wrist, elbow and shoulder can be injured
- variety of injuries following FOOSH
- history
-
investigation
- plain radiograph
- assessment of any fracture
- investigation depends on affected area
- wrist series (AP and lateral)
- elbow series (AP and lateral)
-
other investigations
- scaphoid imaging requires additional views
- MRI scaphoid/bone scan
- followup scaphoid imaging if x-ray normal
- CT scaphoid
- assessment of complex fracture
- plain radiograph
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