Current methods of diagnosis and treatment of scaphoid fracturesReport as inadecuate

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International Journal of Emergency Medicine

, 4:4

First Online: 04 February 2011Received: 29 March 2010Accepted: 04 February 2011


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.

Electronic supplementary materialThe online version of this article doi:10.1186-1865-1380-4-4 contains supplementary material, which is available to authorized users.

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Author: Steven J Rhemrev - Daan Ootes - Frank JP Beeres - Sven AG Meylaerts - Inger B Schipper


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