Abstract
BackgroundScaphoid waist fractures make up 66% of scaphoid fractures and are mostly non-displaced. The purpose of this study was to demonstrate that percutaneous screw fixation is preferable to cast immobilization in the treatment of non-displaced or minimally displaced scaphoid waist fractures.MethodologyBetween 2017 and 2019, we conducted a retrospective review of patients aged 17-65 years who underwent treatment for acute non-displaced scaphoid waist fractures. In total, 52 patients with scaphoid waist fractures were included in the analysis, 25 of whom underwent percutaneous screw treatment and 27 were treated with a short plaster cast. Patient satisfaction, pain, range of motion, and grip strength were evaluated using the Mayo Modified Wrist Score (MMWS). In addition, the time to return to work/sports, union time, complications, and non-union status were evaluated.ResultsA total of 52 (35 male, 15 female) patients were enrolled in this study. The average follow-up time was 24.9 months (range, 24-29 months). The mean age was 28.12 years (range, 17-45 months). Group 1 consisted of 25 patients who underwent percutaneous screw fixation, and group 2 consisted of 27 patients who were treated with a short plaster cast. There were significant differences in return to work, return to sports, and union time between the two groups (p < 0.001). The sixth-month MMWS was significantly different between the two groups (p < 0.001), but the first-year MMWS was not significantly different between the two groups (p = 0.864). There were no complications in both groups.ConclusionsWith percutaneous screw fixation, acute non-displaced or minimally displaced scaphoid waist fractures demonstrated a high rate of union and early return to work/sports.
Highlights
Scaphoid fractures are most common in young male athletes between the ages of 15 and 25
Group 1 consisted of 25 patients who underwent percutaneous screw fixation, and group 2 consisted of 27 patients who were treated with a short plaster cast
Acute non-displaced or minimally displaced scaphoid waist fractures demonstrated a high rate of union and early return to work/sports
Summary
Scaphoid fractures are most common in young male athletes between the ages of 15 and 25. Scaphoid waist fractures account for two-thirds of all scaphoid fractures and are mostly non-displaced [3,4]. Cast stabilization and percutaneous screw osteosynthesis are two treatment options for non-displaced scaphoid waist fractures. Among the reasons for this is that, while the union rate of plaster cast mobilization is comparable to that of percutaneous screw fixation, the plaster cast remains in place for an extended period, delaying a return to sports and other activities [5-7]. The patient group is primarily young and active and wishes to return to sports and social activities as quickly as possible [5]. Scaphoid waist fractures make up 66% of scaphoid fractures and are mostly non-displaced. The purpose of this study was to demonstrate that percutaneous screw fixation is preferable to cast immobilization in the treatment of non-displaced or minimally displaced scaphoid waist fractures
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