The treatment of scaphoid fractures.

概要

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Scaphoid fractures are difficult to diagnose at the early stage because of unclear radiographic findings and slight symptoms. However, if the fractures are left untreated, they will cause carpal instability.In this paper we reported the results of scaphoid fractures in our hospital and pointed out a few important problems. We had 28 fractures (male 23, female 5) for the past 9 years (1979-1988). 12 were managed by conservative treatment and 10 were managed by operative treatment. The patients' mean age was 28.1 years. They were followed-up for an average of 33.9 months.The rate of union was 81.8% and the rate of return to the same job prior to the injury was 72.7%. In this study, we also found that the lunate became to be dorsiflexed following the natural course of the scaphoid fracture, but it was improved after treatment.As a result we had a renewed understanding of the importance of the early and proper treatment of scaphoid fractures.