Immobilization for Scaphoid Fracture: Forearm Rotation in Long Arm Thumb-spica Versus Munster Thumb-spica Casts

Lawton, Jeffrey N.; Nicholls, Mathew; Charoglu, Constantine P.

doi:10.3928/01477447-20070801-07

Cited by 7 publications

(4 citation statements)

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“…Most studies focus on diagnostic and treatment options for scaphoid fractures as these are stated to be the most common among the carpal bones [ 4 – 10 ]. Just a few publications address the incidence and treatment options for the fractures of the other carpals [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of carpal fractures: is it only about the scaphoid?

Boeddrich

Sander

Lustenberger

et al. 2023

Eur J Trauma Emerg Surg

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Because of their low incidence, studies about carpal fractures are rare. The aim of the present study was to analyze epidemiology and treatment of fractured carpal bones. We retrospectively analyzed data of 178 patients admitted to our emergency room with carpal fractures over 6 years. More males than woman were injured. In 91%, a CT scan was performed. The most commonly affected bone was the triquetrum followed by the scaphoid. Almost all triquetral fractures were treated conservatively as opposed to perilunate dislocations that were all operated on. Half of all patients with scaphoid fractures were operated. Young men had the highest risk to sustain a carpal fracture. The triquetrum and the scaphoid are most frequently affected. Usually a CT scan is needed. Treatment of scaphoid and perilunate luxation fractures is rather operative whereas the other fractures mostly allow conservative casting. Nevertheless, correct indication for treatment is important to avoid sequelae.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of carpal fractures: is it only about the scaphoid?

Boeddrich

Sander

Lustenberger

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…To our knowledge, no previous study has differentiated the amount of rotational control by immobilization constructs at the level of the DRUJ, carpus, and metacarpals directly. 13,19 The purpose of this study was to investigate the rotational control provided by each method of immobilization (STS, SAC, MC, LAC) and to assess the effect of varying loads on rotational control. We further sought to evaluate the extent of rotational control provided by each immobilization construct at the level of the DRUJ, carpus, and metacarpals by utilizing a cadaveric model.…”

Section: Introductionmentioning

confidence: 99%

“…Prior studies have investigated each method of immobilization concluding that the most effective restriction of forearm rotation occurs when immobilization is extended proximal to the level of the elbow. 13,19 However, many of these studies evaluated rotation at the hand and thus did not measure true forearm rotation. In addition, this comes at the expense of limited elbow motion, which can result in iatrogenic elbow stiffness.…”

Section: Introductionmentioning

confidence: 99%