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Capitate fractures: a long-term follow-up
Clinical Orthopaedics and Related Research
|May 1, 1982
Summary
Aggressive treatment of capitate fractures, similar to scaphoid fractures, ensures healing. Anatomic reduction and immobilization are key for restoring carpal kinematics and function.
Area of Science:
- Orthopedic surgery
- Hand and wrist trauma
- Carpal bone injuries
Background:
- Capitate fractures are significant carpal injuries.
- Current treatment protocols may vary.
- Scaphoid fracture management serves as a benchmark.
Observation:
- Capitate fractures require aggressive management.
- Open reduction techniques may be necessary for anatomic reduction.
- Immobilization is crucial until fracture union.
Findings:
- Even free proximal pole capitate fractures can heal with appropriate treatment.
- Anatomic reduction is essential for restoring normal carpal kinematics.
- Optimal treatment can minimize, but not always eliminate, post-traumatic carpal arthrosis.
Implications:
- Aggressive, anatomic reduction and immobilization should be the standard for capitate fractures.
- This approach can lead to successful union and improved carpal function.
- Long-term follow-up is still recommended to monitor for arthrosis.
