Conservative treatment of scaphoid fracture: Protocol for a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i1.25220

Keywords:

Scaphoid bone; Fractures, bone; Fracture healing; Conservative treatment.

Abstract

The scaphoid is the most commonly fractured carpal bone. Fractures affecting this bone affect young and active patients between 15 and 40 years of age. Stable scaphoid fractures are treated conservatively by plaster cast immobilization or other type of orthosis for an average period of four to 12 weeks. Failure to treat scaphoid fractures may result in avascular necrosis, nonunion, and early secondary osteoarthritis, which may result in significant economic and social impact due to the affected population, formed by young people of productive age. The management of this type of fracture varies significantly between different Institutions and orthopedic surgeons. This article describes a protocol for a systematic review that aims to evaluate the effects (benefits and harms) of conservative interventions in the treatment of scaphoid fractures in adults.

References

Bhat, M., McCarthy, M., Davis, T. R., Oni, J. A., & Dawson, S. (2004). MRI and plain radiography in the assessment of displaced fractures of the waist of the carpal scaphoid. The Journal of bone and joint surgery. British volume, 86(5), 705–713. https://doi.org/10.1302/0301-620x.86b5.14374

Buijze, G. A., Wijffels, M. M., Guitton, T. G., Grewal, R., van Dijk, C. N., Ring, D., & Science of Variation Group (2012). Interobserver reliability of computed tomography to diagnose scaphoid waist fracture union. The Journal of hand surgery, 37(2), 250–254. https://doi.org/10.1016/j.jhsa.2011.10.051

Clay, N. R., Dias, J. J., Costigan, P. S., Gregg, P. J., & Barton, N. J. (1991). Need the thumb be immobilised in scaphoid fractures? A randomised prospective trial. The Journal of bone and joint surgery. British volume, 73(5), 828–832. https://doi.org/10.1302/0301-620X.73B5.1894676

Cockshott, W. P. (1980). Distal avulsion fractures of the scaphoid. The British journal of radiology, 53(635), 1037–1040. https://doi.org/10.1259/0007-1285-53-635-1037

Cooney, W. P., Dobyns, J. H., & Linscheid, R. L. (1980). Fractures of the scaphoid: a rational approach to management. Clinical orthopaedics and related research, (149), 90–97.

Cumpston, M., Li, T., Page, M. J., Chandler, J., Welch, V. A., Higgins, J. P., & Thomas, J. (2019). Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. The Cochrane database of systematic reviews, 10, ED000142. https://doi.org/10.1002/14651858.ED000142

Dias, J. J., Taylor, M., Thompson, J., Brenkel, I. J., & Gregg, P. J. (1988). Radiographic signs of union of scaphoid fractures. An analysis of inter-observer agreement and reproducibility. The Journal of bone and joint surgery. British volume, 70(2), 299–301. https://doi.org/10.1302/0301-620X.70B2.3346310

Dias, J. J., Wildin, C. J., Bhowal, B., & Thompson, J. R. (2005). Should acute scaphoid fractures be fixed? A randomized controlled trial. The Journal of bone and joint surgery. American volume, 87(10), 2160–2168. https://doi.org/10.2106/JBJS.D.02305

Divelbiss, B. J., & Adams, B. D. (2001). Electrical and ultrasound stimulation for scaphoid fractures. Hand clinics, 17(4), 697–xi.

Düppe, H., Johnell, O., Lundborg, G., Karlsson, M., & Redlund-Johnell, I. (1994). Long-term results of fracture of the scaphoid. A follow-up study of more than thirty years. The Journal of bone and joint surgery. American volume, 76(2), 249–252. https://doi.org/10.2106/00004623-199402000-00012

Fisk G. R. (1970). Carpal instability and the fractured scaphoid. Annals of the Royal College of Surgeons of England, 46(2), 63–76.

Furunes, H., & Vandvik, P. O. (2009). Gips ved mistanke om skafoidfraktur [Cast immobilisation for suspected scaphoid fractures]. Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 129(3), 177–179. https://doi.org/10.4045/tidsskr.09.34096

Gellman, H., Caputo, R. J., Carter, V., Aboulafia, A., & McKay, M. (1989). Comparison of short and long thumb-spica casts for non-displaced fractures of the carpal scaphoid. The Journal of bone and joint surgery. American volume, 71(3), 354–357.

Griffin, X. L., Smith, N., Parsons, N., & Costa, M. L. (2012). Ultrasound and shockwave therapy for acute fractures in adults. The Cochrane database of systematic reviews, (2), CD008579. https://doi.org/10.1002/14651858.CD008579.pub2

Higgins, J. P. T., & Green, S. (2011) Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. Retrieved from https://training.cochrane.org/handbook

Hudak, P. L., Amadio, P. C., & Bombardier, C. (1996). Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). American journal of industrial medicine, 29(6), 602–608. https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L

Ibrahim, T., Qureshi, A., Sutton, A. J., & Dias, J. J. (2011). Surgical versus nonsurgical treatment of acute minimally displaced and undisplaced scaphoid waist fractures: pairwise and network meta-analyses of randomized controlled trials. The Journal of hand surgery, 36(11), 1759–1768.e1. https://doi.org/10.1016/j.jhsa.2011.08.033

Kalainov, D. M., & Lee Osterman, A. L. (2001) Diagnosis and management of scaphoid fractures. In: H. K. Watson & J. Weinzweig (Eds.), The wrist (pp. 187-202). Lippincott Williams & Wilkins.

Karantana, A., Downs-Wheeler, M. J., Webb, K., Pearce, C. A., Johnson, A., & Bannister, G. C. (2006). The effects of Scaphoid and Colles casts on hand function. Journal of hand surgery (Edinburgh, Scotland), 31(4), 436–438. https://doi.org/10.1016/j.jhsb.2006.03.163

King, R. J., Mackenney, R. P., & Elnur, S. (1982). Suggested method for closed treatment of fractures of the carpal scaphoid: hypothesis supported by dissection and clinical practice. Journal of the Royal Society of Medicine, 75(11), 860–867.

Kuhlmann, J. N., Boabighi, A., Kirsch, J. M., Mimoun, M., & Baux, S. (1987). Etude expérimentale de la contention plâtrée des fractures du scaphoïde carpien. Déductions cliniques [Experimental study on a plaster cast in fractures of the carpal scaphoid. Clinical deductions]. Revue de chirurgie orthopedique et reparatrice de l'appareil moteur, 73(1), 49–56.

Kulkarni, R. W., Wollstein, R., Tayar, R., & Citron, N. (1999). Patterns of healing of scaphoid fractures. The importance of vascularity. The Journal of bone and joint surgery. British volume, 81(1), 85–90. https://doi.org/10.1302/0301-620x.81b1.9028

Langhoff, O., & Andersen, J. L. (1988). Consequences of late immobilization of scaphoid fractures. Journal of hand surgery (Edinburgh, Scotland), 13(1), 77–79. https://doi.org/10.1016/0266-7681(88)90058-7

Larsen, C. F., Brøndum, V., & Skov, O. (1992). Epidemiology of scaphoid fractures in Odense, Denmark. Acta orthopaedica Scandinavica, 63(2), 216–218. https://doi.org/10.3109/17453679209154827

MacDermid, J. C., Turgeon, T., Richards, R. S., Beadle, M., & Roth, J. H. (1998). Patient rating of wrist pain and disability: a reliable and valid measurement tool. Journal of orthopaedic trauma, 12(8), 577–586. https://doi.org/10.1097/00005131-199811000-00009

McNally, E. G., Goodman, R., & Burge, P. (2000). The role of MRI in the assessment of scaphoid fracture healing: a pilot study. European radiology, 10(12), 1926–1928. https://doi.org/10.1007/s003300000530

Meiland, J. (2003). The difference between high school and college. In R. K. Durst (Ed.), You are here: Readings on higher education for college writers (pp. 104-114). Prentice Hall.

Mesquita, C.T. (2017). Integrity in scientific research. International Journal of Cardiovascular Sciences [online]. 30(1),1-3. https://www.scielo.br/j/ijcs/a/TJWJ4SNLVK7g6ydkYBzS3Ln/?format=pdf&lang=en

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2010). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. International journal of surgery (London, England), 8(5), 336–341. https://doi.org/10.1016/j.ijsu.2010.02.007

Petheram, T. G., Garg, S., & Compson, J. P. (2009). Is the scaphoid cast still alive? A survey of current UK practice in conservative management of scaphoid fractures. The Journal of hand surgery, European volume, 34(2), 281–282.

Rajagopalan, B. M., Squire, D. S., & Samuels, L. O. (1999). Results of Herbert-screw fixation with bone-grafting for the treatment of nonunion of the scaphoid. The Journal of bone and joint surgery. American volume, 81(1), 48–52. https://doi.org/10.2106/00004623-199901000-00007

Raudasoja, L., Rawlins, M., Kallio, P., & Vasenius, J. (1999). Conservative treatment of scaphoid fractures: a follow up study. Annales chirurgiae et gynaecologiae, 88(4), 289–293.

Rhemrev, S. J., Ootes, D., Beeres, F. J., Meylaerts, S. A., & Schipper, I. B. (2011). Current methods of diagnosis and treatment of scaphoid fractures. International journal of emergency medicine, 4, 4. https://doi.org/10.1186/1865-1380-4-4

Russe, O. (1960). Fracture of the carpal navicular. Diagnosis, non-operative treatment, and operative treatment. The Journal of bone and joint surgery. American volume, 42-A, 759–768.

Schädel-Höpfner, M., Böhringer, G., & Gotzen, L. (2000). Die perkutane Osteosynthese der Skaphoidfraktur mit der Herbert-Whipple-Schraube--Technik und Resultate [Percutaneous osteosynthesis of scaphoid fracture with the Herbert-Whipple screw--technique and results]. Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V..., 32(4), 271–276. https://doi.org/10.1055/s-2000-10935

Schulz, K. F., Altman, D. G., Moher, D., & CONSORT Group (2011). CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. International journal of surgery (London, England), 9(8), 672–677. https://doi.org/10.1016/j.ijsu.2011.09.004

Simonian, P. T., & Trumble, T. E. (1994). Scaphoid Nonunion. The Journal of the American Academy of Orthopaedic Surgeons, 2(4), 185–191. https://doi.org/10.5435/00124635-199407000-00001

Sjølin, S. U., & Andersen, J. C. (1988). Clinical fracture of the carpal scaphoid--supportive bandage or plaster cast immobilization?. Journal of hand surgery (Edinburgh, Scotland), 13(1), 75–76. https://doi.org/10.1016/0266-7681(88)90057-5

Szabo, R. M., & Manske, D. (1988). Displaced fractures of the scaphoid. Clinical orthopaedics and related research, (230), 30–38.

The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan) Version 5.1.1 (2011). Copenhagen: The Nordic Cochrane Centre. https://revman.cochrane.org/#/myReviews

https://doi.org/10.1177/1753193408098908

Tiel-van Buul, M. M., van Beek, E. J., Broekhuizen, A. H., Bakker, A. J., Bos, K. E., & van Royen, E. A. (1993). Radiography and scintigraphy of suspected scaphoid fracture. A long-term study in 160 patients. The Journal of bone and joint surgery. British volume, 75(1), 61–65. https://doi.org/10.1302/0301-620X.75B1.8421037

van der Molen, A. B., Groothoff, J. W., Visser, G. J., Robinson, P. H., & Eisma, W. H. (1999). Time off work due to scaphoid fractures and other carpal injuries in The Netherlands in the period 1990 to 1993. Journal of hand surgery (Edinburgh, Scotland), 24(2), 193–198. https://doi.org/10.1054/jhsb.1998.0109

Weber, E. R., & Chao, E. Y. (1978). An experimental approach to the mechanism of scaphoid waist fractures. The Journal of hand surgery, 3(2), 142–148. https://doi.org/10.1016/s0363-5023(78)80062-8

Yang, Z. Y., Gilula, L. A., & Jonsson, K. (1994). Os centrale carpi simulating a scaphoid waist fracture. Journal of hand surgery (Edinburgh, Scotland), 19(6), 754–756. https://doi.org/10.1016/0266-7681(94)90252-6

Yanni, D., Lieppins, P., & Laurence, M. (1991). Fractures of the carpal scaphoid. A critical study of the standard splint. The Journal of bone and joint surgery. British volume, 73(4), 600–602. https://doi.org/10.1302/0301-620X.73B4.2071642

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Published

11/01/2022

How to Cite

CUNHA, T. R. S. O. da .; MORAIS, M. V. de .; LAPORTE, L. R. .; SÁ, C. K. C. de .; GUEDES, A.; MATTOS, E. de S. R. de . Conservative treatment of scaphoid fracture: Protocol for a systematic review. Research, Society and Development, [S. l.], v. 11, n. 1, p. e43611125220, 2022. DOI: 10.33448/rsd-v11i1.25220. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25220. Acesso em: 22 nov. 2024.

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Health Sciences