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Scaphoid Fractures

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Book cover European Instructional Lectures

Part of the book series: European Instructional Lectures ((EICL,volume 11))

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Abstract

Scaphoid fractures account for 60% of carpal fractures. They can sometimes be missed. Radiographs must be of good quality and should be examined carefully. A below-elbow cast is adequate for undisplaced scaphoid waist fracture; the thumb can be left free. The patient can be advised to use the hand when immobilized in a plaster cast to keep function. Computed tomography evaluates displacement and healing. Displaced fractures are at risk of non-union and mal-union and may merit fixation. Surgical treatment is recommended for complex fractures including perilunate fracture-dislocations, open fractures or multiple fracture. The non-union rate is 10% and almost all of these fractures will develop arthritis.

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  1. Department of Orthopaedic Surgery, University Hospitals of Leicester, The Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK

    Joseph J. Dias

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  1. Royal National Orthopaedic Hospital Trus, Brockley Hill, Stanmore, HA 7 4LP, Middlesex, United Kingdom

    George Bentley

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Dias, J.J. (2011). Scaphoid Fractures. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18321-8_9

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