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  • Title: Non-operative treatment of non-displaced scaphoid fractures may be preferred.
    Author: Rhemrev SJ, van Leerdam RH, Ootes D, Beeres FJ, Meylaerts SA.
    Journal: Injury; 2009 Jun; 40(6):638-41. PubMed ID: 19324359.
    Abstract:
    AIM: To evaluate the outcome of non-displaced scaphoid fractures treated with 6 weeks of cast immobilisation, and to establish whether the benefits of non-operative treatment might outweigh those of early operation. METHODS: A retrospective study analysed 89 consecutive cases of scaphoid fracture treated at our institution between 2004 and 2007. Diagnosis and treatment methods and complication rates were evaluated. RESULTS: Among 71 non-displaced scaphoid fractures, >80% showed clinical consolidation after 6 weeks of cast immobilisation, and the remaining cases after 8-12 weeks. Two cases needed a longer period of cast immobilisation. CONCLUSION: A restricted period of cast immobilisation is usually adequate for the treatment of non-displaced scaphoid fractures.
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