7/24/2023 0 Comments Navicular hand![]() ![]() 1, 2 Scaphoid fractures are notorious for being difficult to diagnose as well as to achieve fracture union. Previous studies have shown that a scaphoid fracture is the most common fracture among patients with post-traumatic radial-sided wrist pain. Post-traumatic radial-sided wrist pain is common and can represent a fracture, wrist sprain, ligament disruption or a combination of injuries. In general, proximal scaphoid fractures should be treated with internal fixation.Ĭite this article: EFORT Open Rev 2020 5:96-103. The majority heal uneventfully after four to six weeks of immobilization, depending on fracture type. Internal fixation is recommended for all scaphoid waist fractures with dislocation ≥ 1.5 mm.ĭistal scaphoid fractures can be treated conservatively. Scaphoid waist fractures with moderate displacement (0.5–1.5 mm) can be treated conservatively, but require prolonged cast immobilization for approximately eight to ten weeks. ![]() In cases of suspected scaphoid fracture where the initial radiographs are negative, a supplementary MRI, or alternatively CT, should be carried out within three to five days.įracture classification, assessment of dislocation as well as evaluation of fracture healing is best done on CT with reconstructions in the coronal and sagittal planes, following the longitudinal axis of the scaphoid.Īfter adequate conservative management, union is achieved at six weeks for approximately 90% of non-displaced or minimally displaced (≤ 0.5 mm) scaphoid waist fractures.
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