Unorthodox Methods in Scaphoid Fractures
نویسنده
چکیده
Two Types of Fracture There' are roughly two main types of fracture of the waist of the carpal scaphoid. In type I there is a crack in the bone with negligible or no displacement, whilst in type II fractures there is an appreciable gap and some degree of displacement. The prognosis is best in type I and frequently the cartilage over the fracture line is intact. McLaughlin (1954) decided to treat a series by compression and inserted a lag screw for the purpose. The results were not such as to popularize the method, but operation soon after the fracture had occurred demonstrated intact articular cartilage across the fracture line in a number of cases. In these it would seem acceptable that in treatment immobilization sufficient to relieve pain and protect from further injury would be adequate. Manipulative reduction ought to be undertaken in patients with type II fracture with displacement.
منابع مشابه
Scaphoid Fractures: A Comparison of Two Surgical Methods for Internal Fixation Using Either Herbert Screws or Multiple Pins
Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This study compared the outcomes of two surgical internal fixation techniques, using either Herbert screws (HS group) or multiple pins (MP group), in the treatment of scaphoid fractures. Methods: This cross-sectional study was performed on 41 patients (23 in HS and 18 in MP groups) with unilateral scaphoid fract...
متن کاملInter-observer agreement between 2-dimensional CT versus 3-dimensional I-Space model in the Diagnosis of Occult Scaphoid Fractures
Background: The I-Space is a radiological imaging system in which Computed Tomography (CT)-scans can be evaluated as a three dimensional hologram. The aim of this study is to analyze the value of virtual reality (I-Space) in diagnosing acute occult scaphoid fractures. Methods: A convenient cohort of 24 patients with a CT-scan from prior studies, without a scaphoid fracture on radiograph, ye...
متن کاملCurrent methods of diagnosis and treatment of scaphoid fractures
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,...
متن کاملThe Effect of Scaphoid Fracture Site on Scaphoid Instability Patterns.
Background Scaphoid fractures are common carpal fractures that are often misdiagnosed as wrist sprains and may go on to nonunion. The location of the fracture site may influence the stability of scaphoid nonunions. Purpose To determine whether the stability of a scaphoid nonunion depends upon the fracture's location, we tested the hypothesis that a simulated fracture distal to the apex of the s...
متن کاملDiagnosis of occult scaphoid fractures: a randomized, controlled trial comparing bone scans to radiographs for diagnosis.
BACKGROUND Many patients with suspected scaphoid fractures but negative radiographs are immobilized for ≥ 2 weeks and are eventually found to have no fracture. Bone scans are reportedly 99% sensitive for these injuries if done ≥ 72 hours postinjury. OBJECTIVE The purpose of this study was to determine if early bone scans would allow for shorter cast immobilization periods in patients with sus...
متن کامل