Displaced fracture of the waist of the scaphoid.

@article{Dias2011DisplacedFO,
  title={Displaced fracture of the waist of the scaphoid.},
  author={J J Dias and H. P. Singh},
  journal={The Journal of bone and joint surgery. British volume},
  year={2011},
  volume={93 11},
  pages={
          1433-9
        }
}
  • J. Dias, H. Singh
  • Published 1 November 2011
  • Medicine
  • The Journal of bone and joint surgery. British volume
A displaced fracture of the scaphoid is one in which the fragments have moved from their anatomical position or there is movement between them when stressed by physiological loads. Displacement is seen in about 20% of fractures of the waist of the scaphoid, as shown by translation, a gap, angulation or rotation. A CT scan in the true longitudinal axis of the scaphoid demonstrates the shape of the bone and displacement of the fracture more accurately than do plain radiographs. Displaced… 
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31 Citations
Background Citations
4
Methods Citations
1

31 Citations

Citation Type

Citation Type

Acute scaphoid fractures and non-unions
The Natural History of Scaphoid Fracture Malunion: A Scoping Review.
TLDR
It is confirmed that patients with malunited scaphoids seem to have higher likelihood of post traumatic arthritis, however, clinical implications remain uncertain and better methods for assessing and defining scaphoid deformity are required.
Chapter 10 – Diagnosis of Displaced Scaphoid Fractures
Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT) protocol: a pragmatic multi-centre randomised controlled trial of cast treatment versus surgical fixation for the treatment of bi-cortical, minimally displaced fractures of the scaphoid waist in adults
TLDR
The SWIFFT Trial is a rigorously designed and adequately powered study which aims to contribute to the evidence-base to inform clinical decisions for the treatment of this common fracture in adults.
The Effect of Malunited Scaphoid Fractures on Joint Congruency.
Surgical fixation compared with cast immobilisation for adults with a bicortical fracture of the scaphoid waist: the SWIFFT RCT.
TLDR
Adult patients with an undisplaced or minimally displaced scaphoid waist fracture should have cast immobilisation and suspected non-unions immediately confirmed and urgently fixed, and the cast treatment pathway was more cost-effective.
Different modalities in management of acute scahphoid fracture
TLDR
A comprehensive analysis of previous available research on various ways of managing acute scaphoid fractures demonstrated that surgical therapy had the benefit of delayed union, backed by time-to-fracture union analyses.
Mid-term follow-up of surgically treated and healed scaphoid fractures.
Scaphoid fractures in children.
TLDR
Conservative therapy of "acute" scaphoid fractures is an acceptable treatment option for pediatric patients with excellent functional results.
Effective Treatment of Simultaneous Distal Radius and Scaphoid Fractures.
TLDR
There is an increasing trend for most surgeons to choose open reduction and internal fixation of simultaneous distal radius and scaphoid fractures, but it is not clear if there is any evidence to support this.
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References

SHOWING 1-10 OF 51 REFERENCES
Fractures of the scaphoid.
TLDR
It was found that fractures of the scaphoid in children are more common than is usually supposed and they were all located in the distal two-thirds of the bone and it is suggested that this pattern of distribution is typical of childhood.
Fractures of the scaphoid: a rational approach to management.
TLDR
Fractures of the scaphoid can be classified into either undisplaced, stable fractures or displaced, unstable fractures by their roentgenographic appearance, and Peg graft techniques had a higher rate of nonunion and secondary arthritis.
Should acute scaphoid fractures be fixed? A randomized controlled trial.
TLDR
This study adopted a program of so-called aggressive conservative treatment, whereby it carefully assess fracture-healing with plain radiographs, and computed tomography scans if necessary, after six to eight weeks of cast immobilization and recommend surgical fixation with or without bone-grafting at that time if a gap is identified at the fracture site.
Scaphoid fractures: current treatments and techniques.
TLDR
Nonsurgical treatment with cast immobilization (short arm-thumb spica cast) is recommended for stable fractures; however, there is increased interest in percutaneous screw (or pin) fixation.
Open reduction and internal fixation of acute displaced scaphoid waist fractures.
TLDR
Final radiographic assessment consistently revealed a healed scaphoid fracture, restored intrascaphoid alignment, and no evidence of carpal instability, and all patients regained functional wrist range of motion and grip strength.
Patterns of union in fractures of the waist of the scaphoid.
TLDR
The incidence of nonunion, defined as a clear gap at the fracture site one year after injury, was much higher than expected and most of the patients with nonunion had symptoms and had appreciable restriction of wrist movement.
Fracture of the carpal scaphoid. A prospective, randomised 12-year follow-up comparing operative and conservative treatment.
TLDR
Operative treatment of an acute fracture of the scaphoid allows early return of function and should be regarded as an alternative to conservative treatment in patients in whom immobilisation in a cast for three months is not acceptable for reasons related to sports, social life or work.
Management of the fractured scaphoid using a new bone screw.
A new and simple operative technique has been developed to provide rigid internal fixation for all types of fractures of the scaphoid. This involves the use of a double-threaded bone screw which…
Ipsilateral fractures of the scaphoid and radius.
The fractured carpal scaphoid. Natural history and factors influencing outcome.
The scaphoid fracture is commonest in young men in the age group 15 to 29 years, who have the highest incidence of non-union, take the longest time to unite, lose more time from work, and spend the…
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