Vv. Desai et al., The prognostic value and reproducibility of the radiological features of the fractured scaphoid, J HAND S-BR, 24B(5), 1999, pp. 586-590
Citations number
16
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
We investigated whether the radiological features of the fractured scaphoid
could be reproducibly measured and used to predict the likelihood of union
with conservative plaster cast immobilization. We found that the inter- an
d intra-observer reproducibility of the Compson, Herbert and Russe classifi
cation systems were only fair and that none predicted fracture union. Asses
sments of fracture level, comminution and displacement showed moderate inte
r- and intra-observer reproducibility but did not predict the likelihood of
fracture union. We conclude that the radiological features of acute scapho
id fractures cannot be used to predict the likelihood of fracture union.