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Non-operative treatment of non-displaced scaphoid fractures may be preferred
Steven J Rhemrev1, Roderick H van Leerdam, Daan Ootes
1Department of Trauma Surgery, Medical Centre Haaglanden, The Hague, Netherlands. rhemrev@mchaaglanden.nl
Aim:
To evaluate the outcome of non-displaced scaphoid fractures treated with 6 weeks of cast immobilisation, and to establish whether the benefits of non-operative treatment might outweigh those of early operation.
Methods:
A retrospective study analysed 89 consecutive cases of scaphoid fracture treated at our institution between 2004 and 2007. Diagnosis and treatment methods and complication rates were evaluated.
Results:
Among 71 non-displaced scaphoid fractures, >80% showed clinical consolidation after 6 weeks of cast immobilisation, and the remaining cases after 8-12 weeks. Two cases needed a longer period of cast immobilisation.
Conclusion:
A restricted period of cast immobilisation is usually adequate for the treatment of non-displaced scaphoid fractures.
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Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Assessment:
1. Clinical Evaluation:
History: