Fresh scaphoid fractures (Analysis of 45 cases)

Abstract

A study of fresh scaphoid fractures, treated at King Khalid University Hospital between 1983 to 1990, is presented. In a study of 45 patients, there were 43 males (95.5%) and two females (4.5%). Twenty-five patients (55.5%) had fractures on the right side and twenty (44.5%) on the left side. Six patients (13.3%) had fractures in the proximal third, thirty-five (77.7%) in the middle third and four (9%) in the distal third. Among the fractures located in the middle third, twenty-two (62.8%) were displaced and thirteen (37.2%) were undisplaced. Patients included in this study had initial treatment by immobilization in a below elbow thumb spica cast. Ten patients after failure of conservative treatment were treated by compression screw osteosynthesis.