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Journal of Hand Surgery (British and European Volume)
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Articles

The Prognostic Value and Reproducibility of the Radiological Features of the Fractured Scaphoid

V. V. DESAI
T. R. C. DAVIS
N. J. BARTON

From the Department of Trauma and Orthopaedic Surgery, Queen’s Medical Centre, Nottingham, UK

Correspondence: T. R. C. Davis FRCS, Department of Trauma and Orthopaedic Surgery, Queen’s Medical Centre, Nottingham NG7 2UH, UK. E-mail: t.davis{at}btinternet.com

We investigated whether the radiological features of the fractured scaphoid could be reproducibly measured and used to predict the likelihood of union with conservative plaster cast immobilization. We found that the inter- and intra-observer reproducibility of the Compson, Herbert and Russe classification systems were only fair and that none predicted fracture union. Assessments of fracture level, comminution and displacement showed moderate inter- and intra-observer reproducibility but did not predict the likelihood of fracture union. We conclude that the radiological features of acute scaphoid fractures cannot be used to predict the likelihood of fracture union.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 5, 586-590 (1999)
DOI: 10.1054/JHSB.1999.0197
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Home page
 J Hand Surg Eur VolHome page
J. M. GEOGHEGAN, M. J. WOODRUFF, R. BHATIA, J. S. DAWSON, R. W. KERSLAKE, N. D. DOWNING, J. A. ONI, and T. R. C. DAVIS
Undisplaced scaphoid waist fractures: is 4 weeks' immobilisation in a below-elbow cast sufficient if a week 4 CT scan suggests fracture union?
J Hand Surg Eur Vol., October 1, 2009; 34(5): 631 - 637.
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