Nondisplaced scaphoid fracture union with and without thumb immobilization .
This report has been verified
by one or more authors of the
original publication.
Cast immobilization with and without immobilization of the thumb for nondisplaced and minimally displaced scaphoid waist fractures: a multicenter, randomized, controlled trial
J Hand Surg Am. 2014 Apr;39(4):621-7Exclusive Author Interview
Dr. David Ring discusses whether thumb immobilization is necessary for the treatment of nondisplaced scaphoid fractures.
62 patients with a fracture of the scaphoid waist were randomized to below-elbow casting with or without immobilization of the thumb. Cast were worn for 10 weeks. The purpose was to assess the extent of union after 10 weeks with both treatment options. Computed tomography (CT) scans at 10 weeks revealed a significantly greater extent of union across the fracture line in the group without thumb immobilization (85%) in comparison to those who had their thumb cast (70%). Clinical evaluation at 6 months demonstrated no significant differences between groups.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
