Acute Scaphoid Fractures: A Critical Analysis Review

Nondisplaced scaphoid fractures can be effectively treated nonoperatively, with union rates approaching or, in some series, exceeding the rates attained with operative intervention. The evidence supports equal outcomes when using a short arm or long arm cast for the closed treatment of nondisplaced...

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Bibliographic Details
Published inJBJS reviews Vol. 4; no. 9
Main Authors Tait, Mark A, Bracey, John W, Gaston, R Glenn
Format Journal Article
LanguageEnglish
Published United States 20.09.2016
Subjects
Casts, Surgical
Fracture Fixation
Humans
Scaphoid Bone - injuries
Wrist Injuries
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Summary:Nondisplaced scaphoid fractures can be effectively treated nonoperatively, with union rates approaching or, in some series, exceeding the rates attained with operative intervention. The evidence supports equal outcomes when using a short arm or long arm cast for the closed treatment of nondisplaced scaphoid fractures. Also, equivalent outcomes have been demonstrated with or without a thumb spica component to the cast. Operative intervention is the recommended treatment for displaced scaphoid fractures. Advanced imaging should be obtained if clinical suspicion is present for a scaphoid fracture with negative radiographs more than 2 weeks after the injury. In some settings, it may even be more cost-effective to obtain advanced imaging sooner.
ISSN:2329-9185
DOI:10.2106/JBJS.RVW.15.00073