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Journal of Hand Surgery (British and European Volume)
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Articles

The Effects of Scaphoid and Colles Casts on Hand Function

A. KARANTANA
M. J. DOWNS-WHEELER
K. WEBB
C. A. PEARCE
A. JOHNSON
G. C. BANNISTER

From the Department of Orthopaedic Surgery and the Hand Centre, Frenchay Hospital, Bristol, UK

Correspondence: Miss A. Karantana, Department of Orthopaedic Surgery, Frenchay Hospital, Bristol, BS16 1 LE, UK. Tel.: +44 1623 622515, ext. 4116; fax: +44 1623 672253.E-mail: alexiak41{at}hotmail.com

Although necessary for bone healing, immobilisation temporarily prevents hand function and may necessitate corrective physiotherapy later. Scaphoid and Colles casts are both commonly used to immobilize scaphoid fractures. Non-union rates are comparable with both casts. The Scaphoid cast incorporates the thumb, whereas the Colles cast leaves the thumb free. We compared the effect of the two casts on hand function in 20 healthy right-hand-dominant volunteers using the Jebsen–Taylor Hand Function Test. Data were obtained through a mixed between and within subject design. Both casts prolonged the time taken to complete the hand function test compared to controls. Testing in the Scaphoid cast took significantly longer than in the Colles cast.

Key Words: Scaphoid fractures • Colles’ cast • hand function

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 4, 436-438 (2006)
DOI: 10.1016/J.JHSB.2006.03.163
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
T. G. Petheram, S. Garg, and J. P. Compson
Is the scaphoid cast still alive? A survey of current UK practice in conservative management of scaphoid fractures
J Hand Surg Eur Vol., April 1, 2009; 34(2): 281 - 282.
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