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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
; ; ; ; and
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
  • pmid:22633223
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
2016-04-04 09:30:38
date last changed
2022-02-13 17:37:40
@article{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    = {{Elsevier}},
  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}},
  doi          = {{10.1016/j.jhsa.2012.04.005}},
  volume       = {{37A}},
  year         = {{2012}},
}