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Factors Associated With Arthroscopically Determined Scaphoid Fracture Displacement and Instability.

Buijze, Geert A; Jørgsholm, Peter; Thomsen, Niels LU ; Björkman, Anders LU ; Besjakov, Jack LU and Ring, David (2012) In The Journal of hand surgery 37A(7). p.1405-1410
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.... (More)
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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
The Journal of hand surgery
volume
37A
issue
7
pages
1405 - 1410
publisher
Elsevier
external identifiers
  • WOS:000310670700016
  • PMID:22633223
  • Scopus:84863010030
ISSN
1531-6564
DOI
10.1016/j.jhsa.2012.04.005
language
English
LU publication?
yes
id
e5c764c6-563d-41aa-b76a-74771fc77355 (old id 2608421)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22633223?dopt=Abstract
date added to LUP
2012-06-04 18:29:10
date last changed
2016-10-28 15:38:47
@misc{e5c764c6-563d-41aa-b76a-74771fc77355,
  abstract     = {PURPOSE: <br/><br>
To identify factors associated with arthroscopically diagnosed scaphoid fracture displacement and instability. <br/><br>
<br/><br>
METHODS: <br/><br>
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. <br/><br>
<br/><br>
RESULTS: <br/><br>
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. <br/><br>
<br/><br>
CONCLUSIONS: <br/><br>
Radiographic comminution is associated with displacement and instability as determined by arthroscopy.},
  author       = {Buijze, Geert A and Jørgsholm, Peter and Thomsen, Niels and Björkman, Anders and Besjakov, Jack and Ring, David},
  issn         = {1531-6564},
  language     = {eng},
  number       = {7},
  pages        = {1405--1410},
  publisher    = {ARRAY(0x9c956a0)},
  series       = {The Journal of hand surgery},
  title        = {Factors Associated With Arthroscopically Determined Scaphoid Fracture Displacement and Instability.},
  url          = {http://dx.doi.org/10.1016/j.jhsa.2012.04.005},
  volume       = {37A},
  year         = {2012},
}