Controversies and best practices for acute scaphoid fracture management

Suh, Nina; Grewal, Ruby

doi:10.1177/1753193417735973

Cited by 41 publications

(41 citation statements)

References 114 publications

(220 reference statements)

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“…Recently, media in Sweden (Ritzén, 2018) report that public green spaces tend to disappear as cities become more dense, depriving children of areas for recreation and play and, more generally, decreasing the possibility for children to spend time outdoors. Internationally, similar trends have been discussed over the years.…”

Section: Introductionmentioning

confidence: 99%

Developing ecological literacy in a forest garden: children’s perspectives

Hammarsten

Askerlund

Almers

et al. 2018

Journal of Adventure Education and Outdoor Learning

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Today, cities become more dense, green spaces disappear and children spend less time outdoors. Research suggests that these conditions create health problems and lack of ecological literacy. To reverse such trends, localities are creating urban green spaces for children to visit during school time. Drawing on ideas in ecological literacy, this study investigates school children's perspectives on a forest garden, a type of outdoor educational setting previously only scarcely researched. Data were collected through walk-and-talk conversations and informal interviews with 28 children aged 7 to 9. Many children in the study expressed strong positive feelings about the forest garden, the organized and spontaneous activities there, and caring for the organisms living there. We observed three aspects of learning in the data, potentially beneficial for the development of children's ecological literacy: practical competence, learning how to co-exist and care, and biological knowledge and ecological understanding.

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Section: Introductionmentioning

confidence: 99%

Developing ecological literacy in a forest garden: children’s perspectives

Hammarsten

Askerlund

Almers

et al. 2018

Journal of Adventure Education and Outdoor Learning

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“…Although accepted in the clinical practice, this strategy has been shown to fail to detect up to 9% of scaphoid fractures, leading to a delay in their diagnosis and unnecessary immobilization in 57% to 80% of the patients with negative baseline radiographs. 20 To avoid the consequences of both unnecessary and insufficient treatments, numerous studies recommend, whenever possible, advanced imaging tests such as magnetic resonance imaging (MRI) and computed tomography (CT) within the first week after the injury in patients with suspected occult scaphoid fractures. These tests have demonstrated much higher diagnostic sensitivity and specificity than plain radiographs, in addition to superior cost-effectiveness and better health outcomes than cast immobilization.…”

Section: Imagingmentioning

confidence: 99%

Diagnostic and Therapeutic Approach to Acute Scaphoid Fractures

Simón

Medrano

Delgado

2020

Revista Iberoamericana de Cirugía de la Mano

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The scaphoid is the carpal bone that most often fractures, accounting for up to 70% of carpal fractures and 11% of hand fractures. It is the second most common arm fracture, only surpassed by fractures of the distal radius. Despite being so common, these fractures can be difficult to diagnose and treat due to the anatomic and physiological particularities of the bone, including its precarious vascularization, its complex three-dimensional structure, and its ligament connections, which greatly contribute to the risk of complications such as malunion, pseudoarthrosis and avascular necrosis. Although there are many published studies on the treatment of these injuries, there is still controversy over what is the most suitable one for certain fracture types. The present article is a comprehensive and updated review of the literature. Combining strategies for clinical and radiological diagnosis, we propose a complete algorithm for the diagnosis of scaphoid fractures based on the varying availability of resources, and we also describe the most appropriate therapeutic approach for the different types of acute fractures of this bone.

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“…However, cast immobilization can also lead to potential problems. These include wrist or hand stiffness, persistent pain, and cast irritation [40]. Surgical complications include protruding hardware, infection, scar tenderness, and iatrogenic injury to articular cartilage, nerves, or tendons [1].…”

Section: Complicationsmentioning

confidence: 99%