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Diagnostik och behandling av akuta skafoideumfrakturer

Clementson, Martin LU ; Thomsen, Niels LU and Björkman, Anders LU (2019) In Lakartidningen 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:
author
organization
alternative title
Scaphoid fractures - Guidelines for diagnosis and treatment
publishing date
type
Contribution to journal
publication status
published
subject
in
Lakartidningen
volume
116
publisher
Swedish Medical Association
external identifiers
  • scopus:85068362981
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
2019-08-06 03:24:33
@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       = {Lakartidningen},
  title        = {Diagnostik och behandling av akuta skafoideumfrakturer},
  volume       = {116},
  year         = {2019},
}