Mid-term follow-up of surgically treated and healed scaphoid fractures
| Autor: | T.-J. Kastenberger, K. Stock, P. Kaiser, R. Arora, G. Schmidle, G. Brueckner |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Scaphoid fracture Osteoarthritis 030230 surgery Wrist Fractures Bone 03 medical and health sciences Grip strength 0302 clinical medicine medicine Humans Internal fixation Orthopedics and Sports Medicine Surgical treatment Retrospective Studies Scaphoid Bone 030222 orthopedics business.industry Rehabilitation Wrist Injuries medicine.disease Surgery medicine.anatomical_structure Radiological weapon Concomitant business Follow-Up Studies |
| Zdroj: | Hand Surgery and Rehabilitation. 40:288-292 |
| ISSN: | 2468-1229 |
| DOI: | 10.1016/j.hansur.2020.12.006 |
| Popis: | The aim of this study was to evaluate the mid-term results of surgically treated scaphoid fractures since we were concerned that good results might deteriorate over time due to osteoarthritis or functional impairment. Thirty-three out of 121 surgically treated patients (isolated scaphoid fractures n = 23; scaphoid fractures with concomitant injuries n = 10) were evaluated retrospectively (47-138 months). Five patients (4%) had a non-union after internal fixation and were excluded because of additional treatment. The remaining 83 patients were not available for a follow-up examination. Patients with an isolated scaphoid fracture had a mean extension-flexion of 68°-0°-64°, a radial-ulnar deviation of 27°-0°-41° and a grip strength of 39 kg (corresponding to 87-98% of the uninjured contralateral wrist), while patients with concomitant injuries had a mean extension-flexion of 60°-0°-44°, radial-ulnar deviation of 22°-0°-38° and a grip strength of 42 kg (corresponding to 73-98% of the uninjured contralateral wrist). The Michigan Hand Questionnaire score was 85 and 75 and the Patient-Rated Wrist Evaluation score was 8 and 21, respectively. Fifteen patients had radiological signs of radiocarpal osteoarthritis with a significantly higher occurrence in those who had concomitant injuries compared to those with isolated scaphoid fractures (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect