Current Methods of Diagnosis and Treatment of Scaphoid Fractures

Overview

Journal Int J Emerg Med

Publisher Biomed Central

Specialty Emergency Medicine

Date 2011 Mar 17

PMID 21408000

Citations 30

Authors

Steven J Rhemrev

Daan Ootes

Frank Jp Beeres

Sven Ag Meylaerts

Inger B Schipper

Affiliations

Soon will be listed here.

Abstract

Fractures of the scaphoid bone mainly occur in young adults and constitute 2-7% of all fractures. The specific blood supply in combination with the demanding functional requirements can easily lead to disturbed fracture healing. Displaced scaphoid fractures are seen on radiographs. The diagnostic strategy of suspected scaphoid fractures, however, is surrounded by controversy. Bone scintigraphy, magnetic resonance imaging and computed tomography have their shortcomings. Early treatment leads to a better outcome. Scaphoid fractures can be treated conservatively and operatively. Proximal scaphoid fractures and displaced scaphoid fractures have a worse outcome and might be better off with an open or closed reduction and internal fixation. The incidence of scaphoid non-unions has been reported to be between 5 and 15%. Non-unions are mostly treated operatively by restoring the anatomy to avoid degenerative wrist arthritis.

Citing Articles

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The Role of Artificial Intelligence in the Identification and Evaluation of Bone Fractures.

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