In Brief: Fractures in Brief

Tysver, Thomas; Jawa, Andrew

doi:10.1007/s11999-010-1261-4

Cited by 19 publications

(11 citation statements)

References 9 publications

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“…12,13,14 It requires significant soft tissue dissection and violation of the extrinsic volar and dorsal ligaments. 2,10 The most common complication seen in various studies were; problem with scar (Hypertrophied scar), screw protrusion, osteoarthritic changes in scaphotrapezial joint after volar approach and post operative instability. 12 Another common complication following Herbert screw fixation is nonunion.…”

Section: Original Articlementioning

confidence: 99%

“…Scaphoid fracture mainly occurs in young adults and constitute 2%-7% of all fractures, and is the most commonly fractured carpal bone which accounts for approximately 82-89% of all carpal fracture. 1,2 Left untreated or poorly reduced, a scaphoid fracture may develop a malunion or nonunion. Even with proper treatment around 10 to 35% of these fractures go into nonunion.…”

Section: Introductionmentioning

confidence: 99%

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Scaphoid Fracture: Functional Outcome Following Fixation with Herbert Screw

Parajuli

Shrestha

Dhoju

et al. 2012

Kathmandu Univ. Med. J.

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BackgroundMost scaphoid fractures though heal uneventfully with cast treatment, immobilization with cast is associated with complication like wrist stiffness. Open reduction and fixation with Herbert Screw though technically demanding procedure can yield excellent results and prevents complication like nonunions and loss of wrist function. ObjectivesTo assess clinical outcome and radiological union of scaphoid fracture after operative management following Herbert screw fixation in patient attending Dhulikhel Hospital. MethodsAll scaphoid fracture, treated from Feb 2007 till Feb 2011, were retrospectively studied in Dhulikhel Hospital, Kathmandu University Hospital. Fifteen patients with scaphoid fractures were treated with Herbert screw. Fourteen were males and one was female. Serial radiographs were taken to assess radiographic union and functional outcome was assessed using Modified Mayo wrist score. ResultsOut of 15 patients, 13 scaphoid had waist fractures and two had proximal pole factures. All scaphoid were treated with open reduction and Herbert screw fixation either by volar approach or by dorsal approach. All fractures maintained good alignment post operatively. Nine (60%) patients had excellent results with normal wrist range of motion, five (33.3%) patients had good results and one (6.7%) patient had poor outcome. In 14 (93.3%) patients good radiological union was seen at final follow up at six months time. ConclusionFixation with Herbert screw for scaphoid fracture is an effective and convenient way of treatment with satisfactory functional outcome and less complication. KEY WORDSscaphoid fracture, Herbert screw, functional outcome scaphoid fracture or with delayed union have expanded from open surgical technique to percutaneous fixation technique that reliably expedite fracture healing and return to work/ sport relative to traditional cast treatment.Predicting successful scaphoid healing after a fracture can be difficult because reported union rates range between 10% and 50% with traditional cast treatment. 5,6 The most influential factors for nonunion includes displaced fractures, fractures with ligamentous injuries and proximal pole fractures. Long term studies confirm a 10% to 12%

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Section: Original Articlementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Scaphoid Fracture: Functional Outcome Following Fixation with Herbert Screw

Parajuli

Shrestha

Dhoju

et al. 2012

Kathmandu Univ. Med. J.

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“…Branches of the radial artery feed the scaphoid, although the proximal lobe of the scaphoid does not have a direct blood supply. Therefore, avascular necrosis is a complication that occurs with scaphoid fractures and non-union occur more often in the proximal lobe ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…This type of fracture is frequently seen in men, and it is rare in children and the elderly ( 5 ). The most frequent reason for a scaphoid fracture is a fall on an outstretched hand, which leads to hyper dorsiflexion of the wrist ( 3 ). The most common classification systems for scaphoid fractures are the Herbert classification, Prosser classification, Russe classification, and Mayo classification.…”

Section: Introductionmentioning

confidence: 99%

“…Russe and Mayo classifications have an anatomical basis, but the Prosser system relates to the explanation of stable and unstable fractures and can, therefore, be used for selecting a treatment option. Scaphoid fractures can be also categorized according to the displacement, location, and chronicity of fracture ( 3 , 6 ). Sometimes patients with a scaphoid fracture, especially if they are in an acute phase of injury, can have normal radiographs; in these cases, the initial diagnosis of scaphoid fracture can be overlooked ( 5 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

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How Trustworthy Are Clinical Examinations and Plain Radiographs for Diagnosis of Scaphoid Fractures?

Ghane¹,

Rezaee‐Zavareh²,

Emami-Meibodi³

et al. 2016

Trauma Mon

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Background: Sometimes patients with a scaphoid fracture, especially in an acute phase of injury, can have normal radiographs and, therefore, initial diagnosis of the scaphoid fracture may be neglected. In this study, we determined the value in of clinical examination and a radiograph in the diagnosis of scaphoid fracture based on the results of a two-week follow-up magnetic resonance imaging (MRI).

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