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Union of Scaphoid Waist Fractures in Adults Despite No or Minimal Immobilization—a Report of Five Cases
SN Comprehensive Clinical Medicine Pub Date : 2020-03-27 , DOI: 10.1007/s42399-020-00257-5
Lars Adolfsson , Hanna Björnsson Hallgren , Yelverton Tegner

Traditionally scaphoid waist fractures have been treated with a long period, 10–12 weeks, of immobilization in a plaster cast until radiological union. The long period of immobilization sometimes infers great discomfort for the patients. To avoid this, surgical treatment with screw fixation has for the last decade been advocated as an option also for undisplaced fractures. In this report, we present five cases with undisplaced scaphoid waist fractures that have healed both radiologically and clinically without any immobilization at all or after a very short period of protection in a cast. These observations challenge the current treatment guidelines.

中文翻译:

没有固定或固定最少的成年人舟骨腰部骨折的联合(附5例报告)

传统上,舟骨型腰部骨折在石膏石膏中固定治疗了10-12周很长时间,直到出现放射学结合为止。长时间的固定有时会给患者带来极大的不适感。为了避免这种情况,近十年来一直提倡采用螺钉固定进行手术治疗,作为未移位骨折的一种选择。在本报告中,我们介绍了5例未移位的舟状腰部骨折,这些病例在放射学和临床上均未得到任何固定,或者在石膏中经过了很短的保护后就已治愈。这些观察挑战了当前的治疗指南。
更新日期:2020-03-27
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