Review of treatment of acute scaphoid fractures: R1

Authors


  • B. Hickey BM, MRCS; P. Hak MB ChB, MRCS; A. Logan MB ChB, FRCS Orth.

Mr Ben Hickey, Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, Wales CF14 4XW, UK. Email: drhickey@hotmail.co.uk

Abstract

Scaphoid fractures are common. Clinical suspicion and early diagnosis and treatment are vital in order to avoid complications such as avascular necrosis. The management of these fractures depends on fracture characteristics, specifically the degree of displacement. With consideration of patient factors, such as occupation, the treatment can be non-operative or operative. There has been much debate in the recent literature regarding the best management of these fractures. The purpose of this review was to identify the current evidence for non-operative and operative treatment. Undisplaced and minimally displaced fractures can be managed non-operatively with a scaphoid cast. Surgical treatment is used for fractures with displacement of >1 mm.

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