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Long-term results of fracture of the scaphoid. A follow-up study of more than thirty years

Düppe, Henrik LU ; Johnell, Olof LU ; Lundborg, Göran LU ; Karlsson, Magnus LU and Redlund-Johnell, Inga LU (1994) In Journal of Bone and Joint Surgery. American Volume 76(2). p.249-252
Abstract
Fifty-six patients who had had a fracture of the scaphoid from January 1950 through December 1959 were interviewed, re-examined, and had radiographs made of both hands an average of thirty-six years (range, thirty-one to forty years) later. The average age at the time of the treatment was twenty-eight years (range, fifteen to forty-five years). Fifty-two of the fifty-six patients were treated at the time of the fracture; the other four had a non-union when first seen. The rate of non-union for the fresh fractures at the most recent follow-up examination was 10 per cent (five of fifty-two). Dorsal intercalated-segment instability was found in three of the fifty-six patients; all three had a pseudarthrosis and manifest radiocarpal... (More)
Fifty-six patients who had had a fracture of the scaphoid from January 1950 through December 1959 were interviewed, re-examined, and had radiographs made of both hands an average of thirty-six years (range, thirty-one to forty years) later. The average age at the time of the treatment was twenty-eight years (range, fifteen to forty-five years). Fifty-two of the fifty-six patients were treated at the time of the fracture; the other four had a non-union when first seen. The rate of non-union for the fresh fractures at the most recent follow-up examination was 10 per cent (five of fifty-two). Dorsal intercalated-segment instability was found in three of the fifty-six patients; all three had a pseudarthrosis and manifest radiocarpal osteoarthrosis. Marked radiocarpal osteoarthrosis developed in only one (2 per cent) of the forty-seven patients who had a healed fracture; it was far more common in the group that had a pseudarthrosis, in which the prevalence was five of nine patients. Manifest osteoarthrosis also seemed to be associated with pain or weakness: it had developed in only three (6 per cent) of the forty-nine patients who did not have any symptoms at the re-examination, compared with three of the seven who had symptoms. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Bone and Joint Surgery. American Volume
volume
76
issue
2
pages
249 - 252
publisher
Journal Bone Joint Surgery Inc
external identifiers
  • pmid:8113260
  • scopus:0028266247
ISSN
1535-1386
language
English
LU publication?
yes
id
c3eb35a9-2be5-4d4e-9c83-101f57d8a646 (old id 1107962)
alternative location
http://www.ejbjs.org/cgi/reprint/76/2/249
date added to LUP
2008-07-23 10:27:55
date last changed
2017-01-01 04:56:31
@article{c3eb35a9-2be5-4d4e-9c83-101f57d8a646,
  abstract     = {Fifty-six patients who had had a fracture of the scaphoid from January 1950 through December 1959 were interviewed, re-examined, and had radiographs made of both hands an average of thirty-six years (range, thirty-one to forty years) later. The average age at the time of the treatment was twenty-eight years (range, fifteen to forty-five years). Fifty-two of the fifty-six patients were treated at the time of the fracture; the other four had a non-union when first seen. The rate of non-union for the fresh fractures at the most recent follow-up examination was 10 per cent (five of fifty-two). Dorsal intercalated-segment instability was found in three of the fifty-six patients; all three had a pseudarthrosis and manifest radiocarpal osteoarthrosis. Marked radiocarpal osteoarthrosis developed in only one (2 per cent) of the forty-seven patients who had a healed fracture; it was far more common in the group that had a pseudarthrosis, in which the prevalence was five of nine patients. Manifest osteoarthrosis also seemed to be associated with pain or weakness: it had developed in only three (6 per cent) of the forty-nine patients who did not have any symptoms at the re-examination, compared with three of the seven who had symptoms.},
  author       = {Düppe, Henrik and Johnell, Olof and Lundborg, Göran and Karlsson, Magnus and Redlund-Johnell, Inga},
  issn         = {1535-1386},
  language     = {eng},
  number       = {2},
  pages        = {249--252},
  publisher    = {Journal Bone Joint Surgery Inc},
  series       = {Journal of Bone and Joint Surgery. American Volume},
  title        = {Long-term results of fracture of the scaphoid. A follow-up study of more than thirty years},
  volume       = {76},
  year         = {1994},
}