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Upper Limb

Acute fractures of the scaphoid

TREATMENT BY CAST IMMOBILISATION WITH THE WRIST IN FLEXION OR EXTENSION?



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Abstract

Acute fractures of the scaphoid were randomly allocated for conservative treatment in a Colles’-type plaster cast with the wrist immobilised in either 20° flexion or 20° extension. The position of the wrist did not influence the rate of union of the fracture (89%) but when reviewed after six months the wrists which had been immobilised in flexion had a greater restriction of extension. We recommend that acute fractures of the scaphoid should be treated in a Colles’-type cast with the wrist in slight extension.


Correspondence should be sent to Mr T. R. C. Davis.

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