目的:舟骨骨折是最常见的腕骨骨折,可导致严重的并发症,如腕骨塌陷和骨关节炎。这项研究回顾了舟骨骨折的类型,结果,以及保守和手术管理的后果。
方法:从2022年1月至2022年12月在侯赛因国王医疗城的手部诊所就诊的64例舟骨骨折患者被纳入并回顾了解剖骨折部位。相关的伤害,治疗方式(保守与手术),愈合的时间,骨折后遗症如骨不连和舟骨不愈合晚期塌陷。
结果:大多数患者为男性(62例,96.9%),大多数(47,73.4%)在25至40年内下降。舟骨腰部骨折是最常见的位置(40,52.5%)。大多数患者(47,73.4%)接受保守治疗,17(26.6%)接受急性固定。然而,骨不连并发骨折53例(82.8%)。值得注意的是,使用血管化或非血管化移植物治疗的舟骨骨不连的愈合率或愈合时间无差异.此外,性别之间的工会率没有变化,四肢,年龄,骨折部位,或吸烟者。然而,在办公室工作人员和接受保守治疗的人中,工会率较高。
结论:我们的研究中的骨不连高于文献中的骨不连,因为我们的部门是一个已确定的不工会案件的转介中心。对于保守治疗,我们建议积极治疗,并在3个月时进行临床和CT扫描随访,并将非联合骨折早期转诊至手诊部,以避免舟骨的晚期塌陷.
OBJECTIVE: Scaphoid fractures are the most common carpal fracture and can lead to severe complications like carpal collapse and osteoarthritis. This study reviewed scaphoid fracture patterns, outcomes, and consequences in conservative and surgical management.
METHODS: Sixty-four patients with scaphoid fracture who attended the hand clinic at King Hussein Medical City from January 2022 to December 2022 were included and reviewed regarding the anatomical fracture site, the associated injury, the treatment modality (conservative versus surgical), the healing time, and fracture sequelae such as nonunion and scaphoid nonunion advanced collapse.
RESULTS: Most patients were males (62 patients, 96.9%), and most (47, 73.4%) fell within 25 to 40 years. Scaphoid waist fracture was the most common location (40, 52.5%). Most patients (47, 73.4%) received conservative treatment and 17 (26.6%) were fixed acutely. However, nonunion complicated 53 fractures (82.8%). Notably, there were no differences in the union rate or time between cases of scaphoid nonunion treated with vascularized or nonvascularized grafts. Furthermore, there were no variations in union rates among genders, extremities, age, fracture locations, or among smokers. However, a higher union rate was noted in office workers and those who received conservative treatment.
CONCLUSIONS: Nonunions were higher in our study than in the literature, as our department is a referral center for established nonunion cases. For conservative treatment, we recommend aggressive management and follow-up with a clinical and CT scan at three months and early referral of non-united fractures to the hand clinic to avoid the advanced collapse of the scaphoid.