Diagnosis and Treatment of Scaphoid Waist Fractures: A Literature Review

  • Mohammad Ali Okhovatpour ORCID Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
  • Adel Ebrahimpour ORCID Taleghani Hospital Research Development committee, Medical School, Shahid Beheshti University of medical sciences, Tehran, Iran
  • Mohammadreza Minator Sajjadi ORCID Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
  • Mehrdad Sadighi ORCID Assistant professor of Department of Orthopedics, Shohada Tajrish Hospital, Medical school, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Reza Zandi ORCID Mail Taleghani Hospital, Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
  • Meysam Jafari Kafi Abadi ORCID Orthopedics Department, Shohada Tajrish Hospital, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
  • Yaser Safaei Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran
Keywords:
Scaphoid Bone; Fracture Fixation; Bone Screws; Diagnosis; Orthopedic Procedures

Abstract

Scaphoid fracture can cause serious complications and its diagnosis and treatment approaches are still contentious. Tenderness of anatomical snuffbox (ASB), longitudinal compression (LC) of the thumb, and scaphoid tubercle (ST) tenderness are very sensitive tests for clinical diagnosis of scaphoid factures all together. Previous studies recommend taking four standard views of the wrist for non-displaced scaphoid fractures diagnosis. Magnetic resonance imaging (MRI), computed tomography scan (CT scan), bone scintigraphy, and ultrasound are used for triage of suspected scaphoid fractures. MRI has the highest sensitivity and specificity. CT scan images captured in planes by the long axis of the scaphoid guide the diagnosis of nondisplaced scaphoid fracture. Displaced fractures need surgical treatment, but the best way of treating a nondisplaced fracture is controversial. Same results have been determined using a short arm or long arm cast for treatment of nondisplaced scaphoid fractures as well as similar outcomes with or without a thumb-spica component to the cast. Wrist position immobilization did not affect the rate of nonunion, wrist flexion, pain, or grip strength. Percutaneous screw fixation can shorten return to work time. CT scan and MRI both can be applied for assessment of union of fracture during follow-up period. This study aims to review the literature on challenges about clinical and radiologic diagnosis of nondisplaced scaphoid fractures and also present concepts about definite management of nondisplaced and minimally-displaced scaphoid waist fractures.

Author Biographies

Mohammad Ali Okhovatpour, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran

Assistant Professor, Department of Orthopedics, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Adel Ebrahimpour, Taleghani Hospital Research Development committee, Medical School, Shahid Beheshti University of medical sciences, Tehran, Iran

Professor of Orthopedics, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mohammadreza Minator Sajjadi, Department of Orthopedics, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran

Assistant Professor, Department of Orthopedics, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Mehrdad Sadighi, Assistant professor of Department of Orthopedics, Shohada Tajrish Hospital, Medical school, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Assistant Professor, Department of Orthopedics, Shohadaye Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Reza Zandi, Taleghani Hospital, Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran

Assistant Professor, Department of Orthopedics, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Meysam Jafari Kafi Abadi, Orthopedics Department, Shohada Tajrish Hospital, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran

Assistant Professor, Department of Orthopedics, Shohadaye Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Yaser Safaei, Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran

Resident of Orthopedics, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Published
2020-07-20
How to Cite
1.
Okhovatpour MA, Ebrahimpour A, Minator Sajjadi M, Sadighi M, Zandi R, Jafari Kafi Abadi M, Safaei Y. Diagnosis and Treatment of Scaphoid Waist Fractures: A Literature Review. J Orthop Spine Trauma. 5(1):2-6.
Section
Review Article