scholarly journals Conservative treatment of scaphoid fracture: Protocol for a systematic review

2022 ◽  
Vol 11 (1) ◽  
pp. e43611125220
Author(s):  
Taís Ribeiro Sousa Oliveira da Cunha ◽  
Matheus Velame de Morais ◽  
Larrie Rabelo Laporte ◽  
Cloud Kennedy Couto de Sá ◽  
Alex Guedes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Impact ◽  
Bone Fractures ◽  
Scaphoid Fracture ◽  
Plaster Cast ◽  
Carpal Bone ◽  
Cast Immobilization ◽  
Secondary Osteoarthritis ◽  
Scaphoid Fractures ◽  
Carpal Bone Fractures

The scaphoid is the most commonly fractured carpal bone. Fractures affecting this bone affect young and active patients between 15 and 40 years of age. Stable scaphoid fractures are treated conservatively by plaster cast immobilization or other type of orthosis for an average period of four to 12 weeks. Failure to treat scaphoid fractures may result in avascular necrosis, nonunion, and early secondary osteoarthritis, which may result in significant economic and social impact due to the affected population, formed by young people of productive age. The management of this type of fracture varies significantly between different Institutions and orthopedic surgeons. This article describes a protocol for a systematic review that aims to evaluate the effects (benefits and harms) of conservative interventions in the treatment of scaphoid fractures in adults.

Capitate and Hamate Fracture. Case Study

2020 ◽  
Vol 22 (2) ◽  
pp. 143-149
Author(s):  
Ricardo Luiz Ramos Filho ◽  
Jefferson Santos De Jesus ◽  
Joao Claudio Ferreira Miranda ◽  
Victor Azuréu Barcelos ◽  
Diego Bento De Oliveira
Keyword(s):  
Bone Fractures ◽  
Case Reports ◽  
Scaphoid Fracture ◽  
Plaster Cast ◽  
Carpal Bone ◽  
Direct Trauma ◽  
Satisfactory Outcome ◽  
Contralateral Hand ◽  
Carpal Bone Fractures ◽  
Hamate Fracture

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Other possible ways for capitate fractures are axial down trauma of the third metacarpal and direct trauma. Hamate fractures have a 2% incidence among carpal bone fractures, probably due to underreporting. They can occur on the hamate body or the hamulus or hook. Combined capitate and hamate fractures are uncommon and relevant studies, especially case reports, are scarce. We present a case report of a combined capitate and hamate fracture in a 44-year-old patient who suffered a direct trauma to the back of the hand during a fall. Following a clinical suspicion based on history and physical examination, radiographic and computed tomography (CT) studies were crucial for elucidating the case and proposed treatment, which involved ensuring absolute stability and performing an open reduction, using interfragmentary compression, with the Herbert bone screw implanted in each bone. After the surgical procedure, the patient wore a forearm plaster cast splint for four weeks. A satisfactory outcome was obtained in three months, with a complete range of motion and preserved force compared to the contralateral hand.

Scaphoid fractures

1996 ◽  
Vol 4 (3) ◽  
pp. 1-13
Author(s):  
Robert S Richards ◽  
James H Roth
Keyword(s):  
Bone Fractures ◽  
Scaphoid Fracture ◽  
Treatment Options ◽  
Carpal Bone ◽  
Working Capacity ◽  
Long Period ◽  
Scaphoid Fractures ◽  
Carpal Bone Fractures

Scaphoid fractures are the most common carpal bone fractures and present physicians with many problems. The majority of such fractures (90%) will unite if properly treated; however a scaphoid fracture that goes on to nonunion affects a patient's working capacity for a long period of time. This paper reviews the pathophysiology of the injury and outlines the diagnostic and treatment options available.

Incidence of Scaphoid Fractures and Associated Injuries at US Trauma Centers

2020 ◽  
Author(s):  
Matthew E. Wells ◽  
Tyler C. Nicholson ◽  
Reuben A. Macias ◽  
Leon J. Nesti ◽  
John C. Dunn
Keyword(s):  
Distal Radius ◽  
Motor Vehicle ◽  
Bone Fractures ◽  
Scaphoid Fracture ◽  
Distal Radius Fractures ◽  
Carpal Bone ◽  
Trauma Centers ◽  
Associated Injuries ◽  
Radius Fractures ◽  
Scaphoid Fractures

Abstract Backgound The scaphoid is the most commonly fractured carpal bone and often presents as a diagnostic challenge. Fractures can often go unnoticed on initial radiographic evaluation and clinical presentation can vary significantly among patients. Awareness of high-risk cohorts assists practitioners in making the appropriate clinical diagnosis of acute scaphoid fracture. Materials and Methods The National Trauma Data Bank is the world's largest trauma data repository. Utilizing the 2016 public use file, we isolated scaphoid fractures by anatomic fracture location by utilizing International Classification of Diseases, 10th revision coding. Reported cases of distal pole (S62.01), waist (S62.02), and proximal pole (S62.03) were included. This data was then queried to determine trends in mechanism of injury, demographic information, and associated injuries. Results There were a total of 968,665 patients with 2,769 cases of reported scaphoid fractures resulting in 286 scaphoid fractures per 100,000 person-years. Males were more likely to sustain a scaphoid fracture than females. The most commonly encountered associated injuries were distal radius fractures, distal ulnar fractures, and nonscaphoid carpal bone fractures, respectively. Conclusions Scaphoid fractures presenting to trauma centers are more commonly reported among males and those involved in motor vehicle accidents or falls. Appropriate scaphoid-specific radiographic imaging should be obtained as well as wrist and elbow images to evaluate for concomitant injuries, especially distal radius fractures.

Diagnostic Strategy for Suspected Scaphoid Fractures in the Presence of Other Fractures in the Carpal Region

2006 ◽  
Vol 31 (4) ◽  
pp. 416-418 ◽  
Author(s):  
F. J. P. BEERES ◽  
M. HOGERVORST ◽  
P. DEN HOLLANDER ◽  
S. J. RHEMREV
Keyword(s):  
Bone Scintigraphy ◽  
Bone Fractures ◽  
Scaphoid Fracture ◽  
Diagnostic Process ◽  
Scaphoid Bone ◽  
Diagnostic Strategy ◽  
X Rays ◽  
Scaphoid Fractures ◽  
Bone Injury ◽  
Suspected Scaphoid Fracture

Bone scintigraphy will identify up to 25% of occult scaphoid bone fractures after negative scaphoid X-rays. Consequently, it deserves a place in the diagnostic process of suspected scaphoid fractures. However, the role of bone scintigraphy is less clear if scaphoid X-rays show other fractures in the carpal region. We analysed 111 consecutive patients with a suspected scaphoid fracture on physical examination. Scaphoid X-rays revealed 61 fractures. Fifty-five patients had scaphoid fractures only and six patients had other fractures in the carpal region but no scaphoid fracture. In 50 cases, no bone injury was seen on these X-rays. In three out of the six patients with other fractures in the carpal region, bone scintigraphy revealed four occult concomitant fractures: one scaphoid, one scaphoid and trapezial and one capitate fracture. In conclusion, bone scintigraphy is required when scaphoid X-rays do not confirm a suspected scaphoid fracture, even in the presence of other fractures in the carpal region.

scholarly journals Cone-beam computed tomography for primary investigation of wrist trauma provides a new map of fractures of carpal bones

2021 ◽  
pp. 175319342110017
Author(s):  
Mamoun Krayem ◽  
Claudia Weber Lensing ◽  
Lotta Fornander
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Bone Fractures ◽  
Primary Diagnosis ◽  
Cone Beam ◽  
Carpal Bone ◽  
Level Of Evidence ◽  
Wrist Trauma ◽  
Carpal Bone Fractures ◽  
Primary Modality

In 2016, our primary modality for radiological examination of wrist trauma, was changed from radiography to cone-beam computed tomography (CBCT). This is a retrospective survey of carpal bone fractures detected by CBCT during 6 months in 2016/2017, compared with those found on conventional radiographs during 6 months in 2013/2014. The incidence of carpal fractures was three times higher during the CBCT period (92/100,000 per year) compared with the radiography period (29/100,000 per year) and the spectrum of anatomical locations was different between the two periods, with fractures of the lunate ( n = 6), trapezium ( n = 9), trapezoid ( n = 4) and capitate ( n = 1) detected by CBCT, in contrast to no fractures of these bones diagnosed during the 6 months radiography period. We suggest a more liberal use of CBCT for examination of wrist trauma considering the benefits of being able to give patients a correct primary diagnosis, treatment and prognosis. Level of evidence: III

Treatment of Acute Carpal Bone Fractures

2017 ◽  
Vol 16 (5) ◽  
pp. 330-335 ◽  
Author(s):  
Chad Hulsopple ◽  
Jesse Deluca ◽  
Christopher Jonas
Keyword(s):  
Bone Fractures ◽  
Carpal Bone ◽  
Carpal Bone Fractures

Radial carpal bone fractures in 15 dogs

2000 ◽  
Vol 41 (2) ◽  
pp. 74-79 ◽  
Author(s):  
A. Li ◽  
D. Bennett ◽  
C. Gibbs ◽  
S. Carmichael ◽  
N. Gibson ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Carpal Bone ◽  
Carpal Bone Fractures

scholarly journals Carpal bone fractures

2017 ◽  
Author(s):  
Daniel Bell ◽  
Yuranga Weerakkody
Keyword(s):  
Bone Fractures ◽  
Carpal Bone ◽  
Carpal Bone Fractures

scholarly journals An isolated pisiform fracture: a case report

2017 ◽  
Vol 4 (1) ◽  
pp. 173
Author(s):  
Gaurav P. Kalaria ◽  
Padmanabh H. Vora ◽  
Rohan R. Memon
Keyword(s):  
Case Report ◽  
Bone Fractures ◽  
Carpal Bone ◽  
Multiple Views ◽  
Ulnar Styloid ◽  
Carpal Bone Fractures ◽  
Low Incidence ◽  
High Index Of Suspicion ◽  
Palmar Flexion ◽  
Very High

<p class="abstract"><span lang="EN-IN">With overall prevalence between 2% to 3%, carpal bone fractures are not encountered frequently in clinical practice. Amongst these, pisiform fractures have very low incidence of &lt;0.2%, in which, more than half are associated with other carpal injuries, and sometimes ulnar styloid and ligamentous injuries. Thus, diagnosis of isolated pisiform fracture requires a very high index of suspicion. Hereby, authors report an isolated pisiform fracture in a 27 year old dentist who sustained an injury due to fall on outstretched hand. After radiographic confirmation in multiple views and CT scan, isolated-minimally displaced pisiform fracture was found. A below-elbow cast with slight palmar flexion was given for 4 weeks. He returned to normal pre-injury activities at 12 weeks.</span></p>

Characteristics of Accessory Carpal Bone Fractures in 50 Racing Greyhounds

1988 ◽  
Vol 01 (02) ◽  
pp. 104-107 ◽  
Author(s):  
D. L. Piermattei ◽  
Ph. E. Davis ◽  
Ch. R. Bellenger ◽  
K. A. Johnson
Keyword(s):  
Bone Fractures ◽  
Carpal Bone ◽  
Teaching Hospitals ◽  
State University ◽  
Anatomical Distribution ◽  
Colorado State University ◽  
Counterclockwise Direction ◽  
Carpal Bone Fractures ◽  
Fracture Types ◽  
The University

Fifty racing greyhounds with fracture of the accessory carpal bone presented to the Veterinary Teaching Hospitals at The University of Sydney (n = 35) and Colorado State University (n = 15) were reviewed for the purpose of identifying the frequency of the various fracture types, and to suggest possible factors which predispose to the injuries. All but three fractures occurred while the dogs were racing. All dogs raced on elliptical tracks in a counterclockwise direction, and this was implicated in the pathogenesis and anatomical distribution of these fractures.

Sign in / Sign up

Export Citation Format

Share Document