Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    

Users Online: 1690 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
Year : 2006  |  Volume : 40  |  Issue : 4  |  Page : 250-254

Fresh fractures of the scaphoid : A rationale method of treatment

Department of Orthopaedics, Osmania Medical College, Hyderabad, India

Correspondence Address:
P Ranga Chari
‘Prashanth Towers’. Musheerabad, Hyderabad 500 020
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5413.34506

Rights and Permissions

Background : Scaphoid, among all carpal bones, is very vulnerable for fracture due to its unique shape and situation with greater articular surface. All scaphoid fractures are being treated with below elbow POP thumb spica casts keeping hand in ball throwing position. A few scaphoid fractures through the waist take longer time to unite, if not end in nonunion. These fractures were found to be displaced unimpacted trans-scaphoid fractures through the waist. Method : The effect of various positions of hand, wrist and forearm over unimpacted displaced scaphoid fractures through the waist were studied on dissected hand specimens and in patients with skiagrams. It was observed that possible radial deviation of hand over neutrally held wrist and forearm would result in anatomical reduction with impaction between the fragments. Added compression effect at site of fracture, necessary for early fracture healing, is produced by passively abducting the first metacarpal bone. Results : Of 68 scaphoid fractures under study, 24 and 41 were displaced and undisplaced ones through the waist respectively. All of them united in eight to ten weeks time as any fracture, when immobilised undisturbed with anatomic reduction and added compression between the fragments except one displaced fracture which took eight more weeks of immobilization for union and revascularilization of proximal fragment. Conclusion : This study showed that all scaphoid fractures in particular those through waist when rigidly immobilized unite as any fracture in eight to ten weeks provided the proximal fragment maintains proper blood supply. Otherwise it would further eight week of immobilization for the proximal fragment to get revascularize following union.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded254    
    Comments [Add]    

Recommend this journal