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Abstract
PURPOSE:
To identify factors associated with arthroscopically diagnosed scaphoid fracture displacement and instability.
METHODS:
This was a secondary use of data from 2 prospective cohort studies. The studies included 58 consecutive adult patients with a scaphoid fracture who elected arthroscopy-assisted operative fracture treatment: some for displacement, some as part of a prospective protocol, and others to avoid a cast. All patients had preoperative computed tomography with reconstructions in planes defined by the long axis of the scaphoid.
RESULTS:
Arthroscopy revealed 38 unstable fractures (movement between fracture fragments; 66%), 27 of which were also displaced. All arthroscopically determined displaced fractures were unstable, and 11 of the 31 arthroscopically determined, nondisplaced fractures were unstable. There was a significant correlation between radiographic comminution (more than 2 fracture fragments) and arthroscopically determined displacement and instability.
CONCLUSIONS:
Radiographic comminution is associated with displacement and instability as determined by arthroscopy.
To identify factors associated with arthroscopically diagnosed scaphoid fracture displacement and instability.
METHODS:
This was a secondary use of data from 2 prospective cohort studies. The studies included 58 consecutive adult patients with a scaphoid fracture who elected arthroscopy-assisted operative fracture treatment: some for displacement, some as part of a prospective protocol, and others to avoid a cast. All patients had preoperative computed tomography with reconstructions in planes defined by the long axis of the scaphoid.
RESULTS:
Arthroscopy revealed 38 unstable fractures (movement between fracture fragments; 66%), 27 of which were also displaced. All arthroscopically determined displaced fractures were unstable, and 11 of the 31 arthroscopically determined, nondisplaced fractures were unstable. There was a significant correlation between radiographic comminution (more than 2 fracture fragments) and arthroscopically determined displacement and instability.
CONCLUSIONS:
Radiographic comminution is associated with displacement and instability as determined by arthroscopy.
| Original language | English |
|---|---|
| Pages (from-to) | 1405-1410 |
| Journal | The Journal of Hand Surgery |
| Volume | 37A |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2012 |
Subject classification (UKÄ)
- Radiology and Medical Imaging
- Surgery
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Dive into the research topics of 'Factors Associated With Arthroscopically Determined Scaphoid Fracture Displacement and Instability.'. Together they form a unique fingerprint.Research output
- 1 Doctoral Thesis (compilation)
-
Scaphoid Fractures - epidemiology, diagnosis and treatment.
Jörgsholm, P., 2015, Hand Surgery Research Group. 105 p.Research output: Thesis › Doctoral Thesis (compilation)
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