Title |
Current methods of diagnosis and treatment of scaphoid fractures
|
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Published in |
International Journal of Emergency Medicine, February 2011
|
DOI | 10.1186/1865-1380-4-4 |
Pubmed ID | |
Authors |
Steven J Rhemrev, Daan Ootes, Frank JP Beeres, Sven AG Meylaerts, Inger B Schipper |
Abstract |
Fractures of the scaphoid bone mainly occur in young adults and constitute 2-7% of all fractures. The specific blood supply in combination with the demanding functional requirements can easily lead to disturbed fracture healing. Displaced scaphoid fractures are seen on radiographs. The diagnostic strategy of suspected scaphoid fractures, however, is surrounded by controversy. Bone scintigraphy, magnetic resonance imaging and computed tomography have their shortcomings. Early treatment leads to a better outcome. Scaphoid fractures can be treated conservatively and operatively. Proximal scaphoid fractures and displaced scaphoid fractures have a worse outcome and might be better off with an open or closed reduction and internal fixation. The incidence of scaphoid non-unions has been reported to be between 5 and 15%. Non-unions are mostly treated operatively by restoring the anatomy to avoid degenerative wrist arthritis. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Australia | 2 | 22% |
Canada | 1 | 11% |
United Kingdom | 1 | 11% |
Netherlands | 1 | 11% |
South Africa | 1 | 11% |
Unknown | 3 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 67% |
Practitioners (doctors, other healthcare professionals) | 2 | 22% |
Science communicators (journalists, bloggers, editors) | 1 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Chile | 1 | <1% |
Denmark | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 201 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 35 | 17% |
Student > Master | 24 | 12% |
Other | 24 | 12% |
Student > Doctoral Student | 21 | 10% |
Researcher | 15 | 7% |
Other | 38 | 19% |
Unknown | 47 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 97 | 48% |
Nursing and Health Professions | 25 | 12% |
Agricultural and Biological Sciences | 5 | 2% |
Sports and Recreations | 5 | 2% |
Social Sciences | 4 | 2% |
Other | 15 | 7% |
Unknown | 53 | 26% |