Acute fractures of the scaphoid - Treatment by cast immobilisation with the wrist in flexion or extension?

被引:63
作者
Hambidge, JE
Desai, VV
Schranz, PJ
Compson, JP
Davis, TRC
Barton, NJ
机构
[1] Queens Med Ctr, Nottingham NG7 2UH, England
[2] Lewisham Hosp, London SE13 6LH, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1999年 / 81B卷 / 01期
关键词
D O I
10.1302/0301-620X.81B1.9367
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Acute fractures of the scaphoid were randomly allocated for conservative treatment in a Colles'-type plaster cast with the wrist immobilised in either 20 degrees flexion or 20 degrees extension. The position of the wrist did not influence the rate of union of the fracture (89%) but when reviewed after six months the wrists which had been immobilised in flexion had a greater restriction of extension. We recommend that acute fractures of the scaphoid should be treated in a Colles'-type cast with the wrist in slight extension.
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页码:91 / 92
页数:2
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