Treatment Options, Return to Play, and Functional Performance after Operatively and Non-operatively Managed Acute Scaphoid Fractures.

Autor: Dunleavy ML; Princeton Orthopaedic Associates, 325 Princeton Avenue, Princeton, NJ, 08540, USA., Pilla N; Department of Orthopaedics, Penn State Health Milton S. Hershey Medical Center 500 University Dr., 30 Hope Drive, PO Box 859, Hershey, PA, 17033, United States of America., Darowish M; Department of Orthopaedics, Penn State Health Milton S. Hershey Medical Center 500 University Dr., 30 Hope Drive, PO Box 859, Hershey, PA, 17033, United States of America. mdarowish@pennstatehealth.psu.edu.
Jazyk: angličtina
Zdroj: Current reviews in musculoskeletal medicine [Curr Rev Musculoskelet Med] 2024 Dec 05. Date of Electronic Publication: 2024 Dec 05.
DOI: 10.1007/s12178-024-09935-6
Abstrakt: Purpose of Review: Scaphoid fractures are commonly encountered injuries in the athletic population. Conservative management is pursued for incomplete fractures and those involving the distal pole. Operative management is indicated for displaced fractures, unstable fractures, and those involving the proximal pole. Complete non-displaced scaphoid waist fractures can be treated operatively or non-operatively based on patient and surgeon preference. The purpose of this article is to discuss the treatment, rehabilitation, and return to play guidelines for scaphoid injuries.
Recent Findings: CT scan is critically important to determine fracture displacement (which influences treatment choices) and healing (which influences return to activity determination). Nondisplaced scaphoid waist fractures can be treated with casting with 99.4% healing rate. Surgical treatment can hasten return to activities; newer surgical constructs have been suggested including dual screw fixation, plating, and staples. Outcomes of scaphoid fractures are generally favorable, as long as the selected treatment achieves a united, well-aligned scaphoid. In the athletic population specifically, there are high return to play rates and functional performances seen after these injuries. Each athlete is unique with regard to chosen sport, level of play, fracture type, and timing of the injury. Treatment options and return-to-play must be determined in a case-by-case manner to ensure an optimal clinical outcome.
Competing Interests: Declarations. Competing Interests: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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