Management of scaphoid fractures in the athlete: open and percutaneous fixation.

Published

Journal Article (Review)

Scaphoid fractures occur commonly in the athlete and should be treated with urgency to avoid undesired late complications. Magnetic resonance imaging may be helpful to make a prompt diagnosis so that an appropriate early treatment plan can be initiated. Cast immobilization in acute, nondisplaced scaphoid fractures seems to have an equivalent union rate to surgical modalities. Despite this, limiting the immobilization and time to union period in the athlete will allow earlier restoration of preinjury level function and eventual return to play. Percutaneous techniques with or without arthroscopy assistance have been advocated as less invasive surgical approaches that may have an added benefit in the athlete. Displaced and unstable fractures should be approached with a volar or dorsal open technique to achieve and confirm an anatomic reduction before screw placement.

Full Text

Duke Authors

Cited Authors

  • Garcia, RM; Ruch, DS

Published Date

  • March 2014

Published In

Volume / Issue

  • 22 / 1

Start / End Page

  • 22 - 28

PubMed ID

  • 24651287

Pubmed Central ID

  • 24651287

Electronic International Standard Serial Number (EISSN)

  • 1538-1951

Digital Object Identifier (DOI)

  • 10.1097/JSA.0000000000000008

Language

  • eng

Conference Location

  • United States