Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.
Hong Kong Med J. 2014 Feb;20(1):52-8. doi: 10.12809/hkmj134146. Epub 2013 Dec 9.
The aim of this review was to present currently available evidence on the management of acute scaphoid fractures. Acute scaphoid fractures are usually diagnosed by a combination of history, physical examination, and radiography. However, in many patients scaphoid fractures are still missed. Thus, the general trend is to over-treat patients with a suspicion of scaphoid fracture. Many aspects of scaphoid fracture management are still controversial and different institutions vary in their approach.
本次综述的目的在于呈现目前关于急性舟状骨骨折治疗的相关证据。急性舟状骨骨折通常通过病史、体格检查和影像学检查的综合判断进行诊断。然而,在许多患者中,舟状骨骨折仍会被漏诊。因此,目前的趋势是对可疑舟状骨骨折的患者进行过度治疗。舟状骨骨折治疗的许多方面仍然存在争议,不同机构的治疗方法也存在差异。