Nondisplaced scaphoid fracture union with and without thumb immobilization
Cast immobilization with and without immobilization of the thumb for nondisplaced and minimally displaced scaphoid waist fractures: a multicenter, randomized, controlled trialJ Hand Surg Am. 2014 Apr;39(4):621-7
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Dr. David Ring discusses whether thumb immobilization is necessary for the treatment of nondisplaced scaphoid fractures.
62 patients with a fracture of the scaphoid waist were randomized to below-elbow casting with or without immobilization of the thumb. Cast were worn for 10 weeks. The purpose was to assess the extent of union after 10 weeks with both treatment options. Computed tomography (CT) scans at 10 weeks revealed a significantly greater extent of union across the fracture line in the group without thumb imm...
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