Rising incidence of scaphoid fracture surgery in Finland

Raittio, Lauri; Jokihaara, Jarkko; Huttunen, Tuomas T.; Leppänen, Olli V.; Launonen, Antti P; Mattila, Ville M.

doi:10.1177/1753193417726051

Cited by 8 publications

(11 citation statements)

References 25 publications

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“…However, plate fixation and external fixation (procedures seldom used for fixation of the scaphoid, but rather for distal radius fractures), were included in the analyses, and this might result in an over-estimation of the incidence of surgery. In accordance with Raittio et al. (2018), we found that men were operated on more often than women.…”

Section: Discussionsupporting

confidence: 82%

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The epidemiology of scaphoid fractures in Sweden: a nationwide registry study

Swärd

Schriever

Franko

et al. 2019

J Hand Surg Eur Vol

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The epidemiology of scaphoid fractures has been described in limited populations, and incidence reports have been inconsistent. We investigated the nationwide incidence of scaphoid fractures by evaluating data on 34,377 patients in the Swedish National Patient Register for the years 2006–2015 regarding diagnosis, age, sex and treatment. The data were validated in 300 random patients, and incidence rates were adjusted accordingly. Forty-one per cent of the initially diagnosed fractures were false positives. The adjusted true fracture incidence rate was 22 per 100,000 person-years. During the decade studied incidence rates decreased in younger men and increased in middle-aged women. The incidence of surgical treatment vs. non-operative treatment did not change over time. Men were treated surgically more often than women (6% vs. 3%) and had a greater risk for nonunion (3% vs. 1%).

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Section: Discussionsupporting

confidence: 82%

“…The rate of surgical interventions for scaphoid fractures was unchanged between 2006 and 2015. In contrast, Raittio et al. (2018) reported increased incidence of scaphoid fracture surgery in Finland 1997–2014.…”

Section: Discussionmentioning

confidence: 94%

The epidemiology of scaphoid fractures in Sweden: a nationwide registry study

Swärd

Schriever

Franko

et al. 2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

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“…Because scaphoid fractures are more likely to occur in younger patients, their estimated incidence may have been lower due to inclusion of older patients (and conversely, our estimated incidence density may have been higher due to exclusion of patients over age 65 years). While our estimate of scaphoid fracture incidence is lower than that of population-based reports from other countries [9,13,15,17], the differences in injury epidemiology, population demographics, and health care delivery systems among countries preclude meaningful direct comparison. In a recent population-based study in Finland, trends in surgical treatment of scaphoid fractures and nonunion were evaluated [17].…”

Section: Discussionmentioning

confidence: 56%

“…While our estimate of scaphoid fracture incidence is lower than that of population-based reports from other countries [9,13,15,17], the differences in injury epidemiology, population demographics, and health care delivery systems among countries preclude meaningful direct comparison. In a recent population-based study in Finland, trends in surgical treatment of scaphoid fractures and nonunion were evaluated [17]. The authors did not investigate the rate of non-operative scaphoid fracture treatment, which likely explains why their estimated incidence of scaphoid fracture primary fixation (5.5 to 17.8 cases per 1,000,000 person-years) differs from the 10.6 fractures treated per 100,000 person-years observed in the current study.…”

Section: Discussionmentioning

confidence: 56%

An Epidemiologic Perspective on Scaphoid Fracture Treatment and Frequency of Nonunion Surgery in the USA

Kazmers

Baty

et al. 2018

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Our estimated incidence of scaphoid fracture is higher than previously reported. The increased enthusiasm in the USA to surgically treat scaphoid fractures is reflected by our trend analysis. The frequency of surgical treatment for presumed nonunion after initial surgical management for closed scaphoid fractures exceeded 10%. Given the increased utilization of surgery, surgeons and patients should be aware of the frequency of nonunion treatment to inform treatment decisions.

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“…The early fixation of scaphoid fractures seems attractive and its popularity is increasing. 6 Many small studies have compared operative and nonoperative treatment. 1,[7][8][9][10][11]27,28 many clinicians advocate surgical treatment citing improved function, quicker return to normal activities, and increased rate of union based on this literature.…”

Section: Discussionmentioning

confidence: 99%

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture

Johnson

Fairhurst

Brealey

et al. 2022

The Bone & Joint Journal

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Aims There has been an increasing use of early operative fixation for scaphoid fractures, despite uncertain evidence. We conducted a meta-analysis to evaluate up-to-date evidence from randomized controlled trials (RCTs), comparing the effectiveness of the operative and nonoperative treatment of undisplaced and minimally displaced (≤ 2 mm displacement) scaphoid fractures. Methods A systematic review of seven databases was performed from the dates of their inception until the end of March 2021 to identify eligible RCTs. Reference lists of the included studies were screened. No language restrictions were applied. The primary outcome was the patient-reported outcome measure of wrist function at 12 months after injury. A meta-analysis was performed for function, pain, range of motion, grip strength, and union. Complications were reported narratively. Results Seven RCTs were included. There was no significant difference in function between the groups at 12 months (Hedges’ g 0.15 (95% confidence interval -0.02 to 0.32); p = 0.082). The complication rate was higher in the operative group and involved more serious complications. Conclusion We found no difference in functional outcome at 12 months for fractures of the waist of the scaphoid with ≤ 2 mm displacement treated operatively or nonoperatively. The complication rate was higher with operative treatment. Cite this article: Bone Joint J 2022;104-B(8):953–962.

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Rising incidence of scaphoid fracture surgery in Finland

Abstract: III.

Cited by 8 publications

References 25 publications

The epidemiology of scaphoid fractures in Sweden: a nationwide registry study

The epidemiology of scaphoid fractures in Sweden: a nationwide registry study

An Epidemiologic Perspective on Scaphoid Fracture Treatment and Frequency of Nonunion Surgery in the USA

One-year outcome of surgery compared with immobilization in a cast for adults with an undisplaced or minimally displaced scaphoid fracture

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