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Managing the Athlete with a Scaphoid Fracture
Edward W Jernigan1, Kyle W Morse1, Michelle G Carlson1
1Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, 523 East 72nd Street, FL 4, New York, NY 10021, USA.
Hand Clinics
|June 11, 2019
Summary
Early surgical fixation and CT scans are crucial for elite athletes with scaphoid fractures. This approach optimizes healing and accelerates the return to full athletic function and competition.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Radiology
Background:
- Scaphoid fractures are common injuries in athletes, potentially leading to long-term dysfunction.
- Minimally displaced and displaced scaphoid fractures in elite athletes often require surgical intervention.
- Early return to function is paramount for elite athletes to minimize career impact.
Purpose of the Study:
- To highlight the importance of early surgical fixation for scaphoid fractures in elite athletes.
- To emphasize the role of computed tomographic (CT) scans in evaluating and managing these injuries.
- To determine how optimal screw placement and postoperative imaging influence healing and return to sport.
Main Methods:
- Review of current treatment protocols for scaphoid fractures in elite athletes.
- Discussion of the diagnostic and surgical planning utility of CT scans.
- Evaluation of the impact of screw placement on fracture healing and functional recovery.
- Assessment of postoperative CT scans for monitoring healing and guiding return-to-play decisions.
Main Results:
- Early fixation is the standard for displaced and most minimally displaced scaphoid fractures in elite athletes.
- CT scans are recommended for all scaphoid fractures to ensure accurate anatomical assessment and optimal screw placement.
- Proper screw placement is critical for maximizing fracture healing and facilitating return to sport.
- Postoperative CT scans can aid in evaluating healing progress, potentially expediting return to play.
Conclusions:
- Early surgical fixation combined with comprehensive CT imaging is essential for optimal outcomes in elite athletes with scaphoid fractures.
- Precise screw placement is a key factor in achieving robust healing and enabling a timely return to athletic activities.
- Postoperative CT evaluation can further optimize the return-to-play timeline for athletes.
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