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HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL
OBJECTIVE: To verify how hand surgeons manage scaphoid fractures and their complications. METHODS: Two hundred questionnaires were distributed during the 36(th) Brazilian Hand Surgery Congress (2016). RESULTS: On suspicion of fracture without radiographic confirmation, 57% of surgeons request a CT o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
ATHA EDITORA
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220658/ https://www.ncbi.nlm.nih.gov/pubmed/30464707 http://dx.doi.org/10.1590/1413-785220182605184659 |
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author | Nacif, Gustavo Chaves Pedro, Fernando Moises Jose de Moraes, Vinicius Ynoe Fernandes, Marcela Bellot, João Carlos |
author_facet | Nacif, Gustavo Chaves Pedro, Fernando Moises Jose de Moraes, Vinicius Ynoe Fernandes, Marcela Bellot, João Carlos |
author_sort | Nacif, Gustavo Chaves |
collection | PubMed |
description | OBJECTIVE: To verify how hand surgeons manage scaphoid fractures and their complications. METHODS: Two hundred questionnaires were distributed during the 36(th) Brazilian Hand Surgery Congress (2016). RESULTS: On suspicion of fracture without radiographic confirmation, 57% of surgeons request a CT or MRI scan, while 43% opt for immobilization and consecutive radiographs. In stable fractures the preference was for treatment with plaster cast. In fractures with no scaphoid waist displacement, 33% opt for percutaneous fixation. In displaced waist or proximal pole fractures, 66% and 99.4%, respectively, opted for surgical treatment. Most surgeons treat waist nonunion with a nonvascularized bone graft. When absorption at the site of nonunion is greater than 4 mm, 50% prefer to use iliac graft and screw fixation. In proximal pole nonunion, the Zaidemberg technique is preferred by 64%. More experienced surgeons are more likely to request tests in occult fractures (63.9% versus 47.6%; p=0.04), and tend to recommend surgery for distal third fractures more frequently (16.4% versus 4.7%; p=0.02). CONCLUSIONS: We have provided an overview of treatment preferences for scaphoid fractures. It should be noted that more experienced surgeons are more likely to request additional tests for occult fractures and to recommend surgical treatment of distal third fractures. Level of Evidence IV, Cross-sectional survey. |
format | Online Article Text |
id | pubmed-6220658 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | ATHA EDITORA |
record_format | MEDLINE/PubMed |
spelling | pubmed-62206582018-11-21 HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL Nacif, Gustavo Chaves Pedro, Fernando Moises Jose de Moraes, Vinicius Ynoe Fernandes, Marcela Bellot, João Carlos Acta Ortop Bras Original Article OBJECTIVE: To verify how hand surgeons manage scaphoid fractures and their complications. METHODS: Two hundred questionnaires were distributed during the 36(th) Brazilian Hand Surgery Congress (2016). RESULTS: On suspicion of fracture without radiographic confirmation, 57% of surgeons request a CT or MRI scan, while 43% opt for immobilization and consecutive radiographs. In stable fractures the preference was for treatment with plaster cast. In fractures with no scaphoid waist displacement, 33% opt for percutaneous fixation. In displaced waist or proximal pole fractures, 66% and 99.4%, respectively, opted for surgical treatment. Most surgeons treat waist nonunion with a nonvascularized bone graft. When absorption at the site of nonunion is greater than 4 mm, 50% prefer to use iliac graft and screw fixation. In proximal pole nonunion, the Zaidemberg technique is preferred by 64%. More experienced surgeons are more likely to request tests in occult fractures (63.9% versus 47.6%; p=0.04), and tend to recommend surgery for distal third fractures more frequently (16.4% versus 4.7%; p=0.02). CONCLUSIONS: We have provided an overview of treatment preferences for scaphoid fractures. It should be noted that more experienced surgeons are more likely to request additional tests for occult fractures and to recommend surgical treatment of distal third fractures. Level of Evidence IV, Cross-sectional survey. ATHA EDITORA 2018 /pmc/articles/PMC6220658/ /pubmed/30464707 http://dx.doi.org/10.1590/1413-785220182605184659 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Nacif, Gustavo Chaves Pedro, Fernando Moises Jose de Moraes, Vinicius Ynoe Fernandes, Marcela Bellot, João Carlos HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL |
title | HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL |
title_full | HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL |
title_fullStr | HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL |
title_full_unstemmed | HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL |
title_short | HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL |
title_sort | how scaphoid fractures are treated in brazil |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220658/ https://www.ncbi.nlm.nih.gov/pubmed/30464707 http://dx.doi.org/10.1590/1413-785220182605184659 |
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