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Nondisplaced scaphoid fracture union with and without thumb immobilization
June 2014
Nondisplaced scaphoid fracture union with and without thumb immobilization
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:1
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):621-7Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
OE EXCLUSIVE
Dr. David Ring discusses whether thumb immobilization is necessary for the treatment of nondisplaced scaphoid fractures.
Synopsis
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 imm...
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