Epidemiology of scaphoid fractures in Odense, Denmark

Larsen, Claus Falck; Brøndum, Vibeke; Skov, Ole

doi:10.3109/17453679209154827

Cited by 121 publications

(68 citation statements)

References 5 publications

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“…1 Scaphoid non-union (SN) occurs with an incidence of 5% of all scaphoid fractures. 2 If left untreated, SN leads to scaphoid non-union advanced collapse and osteoarthritis in more than 90% of cases after 10 years. [3][4][5] Various non-vascularized and vascularized cortico-spongious bone grafts are employed to treat SN.…”

Section: Introductionmentioning

confidence: 99%

Vascularized versus non-vascularized bone grafts in the treatment of scaphoid non-union

Hirche

Xiong

Heffinger

et al. 2017

J Orthop Surg (Hong Kong)

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Introduction: Conventional non-vascularized bone grafts as well as vascularized bone grafts are used to treat scaphoid non-union (SN). Due to limited available studies, the field of application using both grafts for SN still remains controversial. The aim of this study was to evaluate a treatment algorithm for the use of both vascularized versus non-vascularized bone grafts based on clinical outcomes and quality of life (QoL) to improve the level of evidence. Materials and Methods: Based on a retrospective cohort study, including 28 patients with vascularized and 45 patients with conventional bone grafts, functional parameters, radiological outcome, Mayo-wrist-score, and QoL by SF-36 were applied to statistically compare the outcome of these two techniques. Results: Time between last procedure or trauma and study group scaphoid reconstruction was almost double in the vascularized bone grafting group. Comparable union rates were achieved with vascularized as well as non-vascularized bone grafts. Significant differences were observed between both groups for grip strength and radial-ulnar active range of motion. Further functional outcomes, radiological outcomes as well as QoL were found similar for both techniques in patients with surgical union. Discussion and conclusions: In order to achieve comparable and appropriate treatment results, vascularized bone grafts are recommended for patients with delayed treatment, impaired scaphoid vascularity, and revision surgery. Even in preselected, complex cases, the results are comparable to conventional grafts, which are the basis for further patient education and approve the powerful role of surgical angiogenesis of vascularized bone grafts.

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Section: Introductionmentioning

confidence: 99%

Vascularized versus non-vascularized bone grafts in the treatment of scaphoid non-union

Hirche

Xiong

Heffinger

et al. 2017

J Orthop Surg (Hong Kong)

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“…Scaphoid fractures commonly occur in a young, working population with an average age of 25 years with an incidence of 23-43 per 100,000 persons per year [1,2]. Scaphoid fractures can go on to nonunion which can cause significant morbidity in terms of time off work and activities if not treated adequately [3,4].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Naranje

Kotwal

Shamshery

et al. 2009

International Orthopaedics (SICOT)

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The aim of our study was to evaluate clinical, radiological and functional outcomes of selected cases of percutaneous fixation of scaphoid fractures via a dorsal approach. Percutaneous fixation by dorsal approach was done in 32 patients (mean age 32.2 years) involving both fresh and late scaphoid fracture presentations (mean 17 days). Fourteen cases of B1 type, ten cases of B2 and eight cases of C type (Herbert's classification) were treated. The patients were prospectively followed up clinically and radiologically for a minimum follow-up of 14 months (mean 16 months), and functional outcome and complications were assessed. All fractures united over an average of nine weeks. There was no avascular necrosis or screw cutout with preservation of wrist movement and grip strength. There were no injuries to any at risk anatomical structures. Percutaneous fixation of scaphoid fractures through dorsal approach gives good clinical and functional outcome in acute and chronic scaphoid fractures of B1, B2 and C types (Herbert's classification).

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“…The diagnosis may be missed by the patient not seeking medical examination and by the physician diagnosing a sprained wrist. Nonunion occurs in approximately 5% (0-22) (Stewart 1954, Eddeland et al 1975, Morgan and Walters 1984, Dias et al 1989, Larsen et al 1992, Duppe et al 1994, Barton 1997, Khan and Harby 1995, Raudasoja et al 1999, Roolker et al 1999). …”

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confidence: 99%