Should Acute Scaphoid Fractures Be Fixed?<sbt aid="959864">A Randomized Controlled Trial</sbt>

Abstract

Therapeutic Level I.

Surgical Compared with Conservative Treatment for Acute Nondisplaced or Minimally Displaced Scaphoid Fractures

“…Dias et al reported on eighty-eight patients with a mean age of 29.5 years (range, sixteen to sixty-one years) who had a clear bicortical nondisplaced or minimally displaced fracture of the waist of the scaphoid (a Herbert type-A2, B2, or B5 fracture) 32 . The study group included nine female and seventy-nine male patients.…”

“…Four of the eight studies evaluated the primary outcome measure, functional outcome based on validated function scores 13,18,31,32 . Two studies evaluated the DASH score 18,31 , including one study that evaluated the DASH and PRWE scores 18 , one evaluated the PEM score 32 , and one evaluated the modified Green and O'Brien score 13 .…”

“…Two studies evaluated the DASH score 18,31 , including one study that evaluated the DASH and PRWE scores 18 , one evaluated the PEM score 32 , and one evaluated the modified Green and O'Brien score 13 . One study evaluated patient satisfaction 14 , and two studies evaluated pain 31,32 . Seven studies evaluated range of motion and grip strength 13,14,18,[30][31][32][33] .…”

“…Seven studies evaluated range of motion and grip strength 13,14,18,[30][31][32][33] . Three studies evaluated time to union 13,14,31 , seven evaluated infection 13,14,18,[30][31][32][33] , six evaluated the rate of nonunion 14,18,[30][31][32][33] , and seven evaluated the rate of …”

“…T 13,14,18,[30][31][32][33] . Six studies evaluated time off work 13,14,[31][32][33][34] , three evaluated return to previous activity 13,18,30 , and two evaluated costs 31,34 .…”