- Author
-
G.A. Buijze
- Title
- Scaphoid fractures: anatomy, diagnosis and treatment
- Supervisors
-
C.N. van Dijk
J.B. Jupiter - Co-supervisors
- Award date
- 29 June 2012
- Number of pages
- 286
- ISBN
- 9789090268132
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
This thesis deals with current issues in anatomy, diagnosis and treatment of scaphoid fractures. Anatomical inconsistencies are elucidated by accurate 3D imaging. Sophisticated diagnostic imaging cannot solve the problem of the suspected scaphoid fracture because there is no gold standard for a true fracture, and there likely never will be. Acknowledging that we can only deal in probabilities, the development of clinical prediction rules will help to better define and narrow those probabilities. Fracture displacement and instability cannot be accurately diagnosed or predicted on CT or radiographs. CT is more accurate than radiographs at diagnosing displacement, and training of observers can increase the reliability. Adequate treatment of scaphoid fractures can result in high rates of union (95-100%). The choice of surgical or conservative treatment should be based on surgeon and patient preferences. If conservative treatment is opted, there is no need to immobilize the thumb.
- Note
- Chapter 5 is an unedited, pre-publication version of an article published as: Duckworth AD, Buijze GA, Moran M, et al. Predictors
of fracture following suspected injury to the scaphoid. J Bone Joint Surg [Br] 2012;94-B:961-968. Reproduced with permission
and copyright of the British Editorial Society of Bone and Joint Surgery.
Research conducted at: Universiteit van Amsterdam - Persistent Identifier
- https://hdl.handle.net/11245/1.385887
- Downloads
-
Front cover
Title pages
Table of contents
Chapter 1: Introduction & outline
Chapter 2: Osseous and ligamentous scaphoid anatomy: Part I. A systematic literature review highlighting controversies
Chapter 3: Osseous and ligamentous scaphoid anatomy: Part II. Evaluation of ligament morphology using three-dimensional anatomical imaging
Chapter 4: Diagnostic performance tests for suspected scaphoid fractures differ with conventional and latent class analysis
Chapter 5: Predictors of fracture following suspected injury to the scaphoid
Chapter 6: Diagnostic performance of radiographs and computed tomography for displacement and instability of acute scaphoid waist fractures
Chapter 7: Factors associated with arthroscopically determined scaphoid fracture displacement and instability
Chapter 8: Training improves interobserver reliability for the diagnosis of scaphoid fracture displacement
Chapter 9: Interobserver reliability of computed tomography to diagnose scaphoid waist fracture union
Chapter 10: Surgical versus conservative treatment for acute nondisplaced and minimally displaced scaphoid fractures: a systematic review and meta-analysis of randomized controlled trials
Chapter 11: Non-operative treatment for acute scaphoid fractures: a systematic review and meta-analysis of randomized clinical trials
Chapter 12: Cast immobilization with and without immobilization of the thumb for nondisplaced scaphoid waist fractures: a multi-center randomized controlled trial
Chapter 13: Management of scaphoid nonunion
Chapter 14: Summary & discussion
Chapter 14: Samenvatting
Epilogue
Thanks & recognition
Scientific output
About the author
Back cover
Stellingen
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