Acute scaphoid fractures: making decisions for treating a troublesome bone. (January 2022)

• Record Type: Journal Article
• Authors: Dias, Joseph J.; Ring, David; Grewal, Ruby; Clementson, Martin; Buijze, Geert Alexander; Ho, Pak-Cheong
• Is Part Of: Journal of hand surgery. Volume 47:Number 1(2022)
• Page Start: 73
• Page End: 79
• Publication Date: 2022-01
• Subjects: Scaphoid fracture -- cast fixation -- internal fixation -- proximal pole fractures; 617.575059
• DOI: 10.1177/17531934211053441
• Languages: English
• ISSNs: 1753-1934

Abstract

Seven aspects of the management of acute scaphoid fractures are open to debate: Diagnosis of true fractures among suspected fractures, assessment of fracture displacement, cast immobilization strategies, the role of surgical fixation, proximal pole fractures, assessment of union, and the underlying objective of treatment. We reviewed current evidence, and our varied interpretations of it, to highlight areas of uncertainty where more evidence might be helpful.