The Hip: Preservation, Replacement and Revision

Non-Displaced Scaphoid Fractures                             


- See:
    - Scahoid Frx Menu
    - Non Diagnositic X-ray

- Discusion:
    - tension in palmar radioscaphocapitate ligament leads to displacement of distal pole of scaphoid;
    - consider immobilization to relaxe palmar radiocarpal ligaments;
    - place wrist in sl radial deviation and slight palmar or neutral flexion;
    - initially patients should be placed in long arm cast for 6 weeks;
    - time to healing by location:
           - times to union increasing for more proximal fractures;
           - frx of distal third heal in approx 6-8 weeks;
           - middle third frx heal in 8-12 weeks;
           - frx of proximal third heal in 12-23 weeks;

- Radiographs:
    - non diagnositic radiograph

- Casting of Scaphoid Frx
- Percutaneous Scaphoid Fixation



Should Acute Scaphoid Fractures Be Fixed? A Randomized Controlled Trial.

Diagnosis of Scaphoid Fracture Displacement with Radiography and Computed Tomography.

Nonoperative Compared with Operative Treatment of Acute Scaphoid Fractures. A randomized clinical trial.

Evidence-based management of acute nondisplaced scaphoid waist fractures.

Does thumb immobilization contribute to scaphoid fracture stability?

Surgical Compared with Conservative Treatment for Acute Nondisplaced or Minimally Displaced Scaphoid Fractures




Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, May 11, 2012 11:01 am