Review
Review of the current methods in the diagnosis and treatment of
scaphoid fractures
E Krasin, M Goldwirth, A Gold, D R Goodwin
Hand Surgery Unit,
Department of Orthopaedics "A", Tel Aviv Sourasky Medical Centre,
The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Correspondence to: Dr Elisha Krasin, Hand Surgery Unit, Department of Orthopaedics "A", Tel Aviv Sourasky Medical Centre, 6 Weizman Street, Tel Aviv 64239, Israel ekrasin{at}tasmc.health.gov.il
Submitted 15 March
2000;
Accepted 31 October 2000
If neglected or misdiagnosed, non-union of a scaphoid fracture
will almost inevitably progress to radiographic and symptomatic osteoarthritis of the wrist with subsequent morbidity and lifelong disability, especially in young males in which the fracture is more
common. Fractures of the scaphoid bone are the most common fractures of
the carpus and second in occurrence among fractures of the wrist.
The diagnosis and treatment are not simple. Familiarity with different
imaging methods and treatment options is required. The treatment in
most cases is conservative and will lead to uneventful union, but an
operation may be needed in certain cases primarily and in the treatment
of non-union.
The current literature on the diagnosis and treatment of scaphoid
fractures is reviewed, and the authors try to make a clear and concise
picture of this complex and sometimes controversial field.
Keywords: scaphoid; fracture
© 2001 by The Fellowship of Postgraduate Medicine
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