Leppänen Olli, Karjalainen Teemu
Keski-suomen keskussairaala, kirugian klinikka.
Duodecim. 2013;129(21):2273-9.
The scaphoid fracture is a typical consequence of a young person falling on an outstretched arm. The diagnosis is based on clinical examination and conventional radiography as well as computed tomography or MR imaging, when necessary. More detailed investigations should be directed to patients having a high likelihood of fracture. Nondisplaced scaphoid waist fractures are treated with a dorsal plaster splint. A scaphoid fracture with good position will usually unite within 5 to 8 weeks. Fractures within the proximal part of the bone as well as displaced fractures are recommended to be treated operatively.
舟骨骨折是年轻人伸直手臂摔倒后的典型后果。诊断基于临床检查、传统X线摄影,必要时还需进行计算机断层扫描或磁共振成像。更详细的检查应针对骨折可能性高的患者。无移位的舟骨腰部骨折采用背侧石膏夹板治疗。位置良好的舟骨骨折通常会在5至8周内愈合。建议对骨近端的骨折以及移位骨折进行手术治疗。