Diagnostik och behandling av akuta skafoideumfrakturer
(2019) In Läkartidningen 116.- Abstract
This article suggests algorithms for diagnosis and treatment of scaphoid fractures. A clinical suspected scaphoid fracture without signs of fracture on conventional radiographs should have a supplementary MRI done within 5-7 days. Displaced fractures and all proximal fractures should be classified by CT. Fracture union should be evaluated by CT. 90 procent of non- or minimally displaced waist fractures are healed after 6 weeks of conservative treatment. Non- or minimally displaced fractures with signs of instability can be treated conservatively, but require prolonged immobilisation. Fractures with a displacement ≥1,5 mm as well as the majority of proximal scaphoid fractures should be treated surgically with internal fixation.
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/30161633-4969-4516-86f2-9835092f4d12
- author
- Clementson, Martin LU ; Thomsen, Niels LU and Björkman, Anders LU
- organization
- alternative title
- Scaphoid fractures - Guidelines for diagnosis and treatment
- publishing date
- 2019-06-18
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Läkartidningen
- volume
- 116
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:31211404
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- yes
- id
- 30161633-4969-4516-86f2-9835092f4d12
- alternative location
- http://lakartidningen.se/EditorialFiles/9M/%5bFL9M%5d/FL9M.pdf
- date added to LUP
- 2019-07-17 09:27:05
- date last changed
- 2022-01-31 23:32:38
@article{30161633-4969-4516-86f2-9835092f4d12, abstract = {{<p>This article suggests algorithms for diagnosis and treatment of scaphoid fractures. A clinical suspected scaphoid fracture without signs of fracture on conventional radiographs should have a supplementary MRI done within 5-7 days. Displaced fractures and all proximal fractures should be classified by CT. Fracture union should be evaluated by CT. 90 procent of non- or minimally displaced waist fractures are healed after 6 weeks of conservative treatment. Non- or minimally displaced fractures with signs of instability can be treated conservatively, but require prolonged immobilisation. Fractures with a displacement ≥1,5 mm as well as the majority of proximal scaphoid fractures should be treated surgically with internal fixation.</p>}}, author = {{Clementson, Martin and Thomsen, Niels and Björkman, Anders}}, issn = {{0023-7205}}, language = {{swe}}, month = {{06}}, publisher = {{Swedish Medical Association}}, series = {{Läkartidningen}}, title = {{Diagnostik och behandling av akuta skafoideumfrakturer}}, url = {{http://lakartidningen.se/EditorialFiles/9M/%5bFL9M%5d/FL9M.pdf}}, volume = {{116}}, year = {{2019}}, }