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J Wrist Surg 2021; 10(02): 123-128
DOI: 10.1055/s-0040-1720963
Scientific Article

Incidence of Scaphoid Fractures and Associated Injuries at US Trauma Centers

Matthew E. Wells
1   Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas
2   Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas
,
Tyler C. Nicholson
1   Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas
2   Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas
,
Reuben A. Macias
1   Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas
2   Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas
,
Leon J. Nesti
3   Department of Surgical Services, Uniformed Services University of the Health Sciences, Bethesda, Maryland
,
John C. Dunn
1   Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas
3   Department of Surgical Services, Uniformed Services University of the Health Sciences, Bethesda, Maryland
› Institutsangaben Funding None.
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Abstract

Backgound The scaphoid is the most commonly fractured carpal bone and often presents as a diagnostic challenge. Fractures can often go unnoticed on initial radiographic evaluation and clinical presentation can vary significantly among patients. Awareness of high-risk cohorts assists practitioners in making the appropriate clinical diagnosis of acute scaphoid fracture.

Materials and Methods The National Trauma Data Bank is the world's largest trauma data repository. Utilizing the 2016 public use file, we isolated scaphoid fractures by anatomic fracture location by utilizing International Classification of Diseases, 10th revision coding. Reported cases of distal pole (S62.01), waist (S62.02), and proximal pole (S62.03) were included. This data was then queried to determine trends in mechanism of injury, demographic information, and associated injuries.

Results There were a total of 968,665 patients with 2,769 cases of reported scaphoid fractures resulting in 286 scaphoid fractures per 100,000 person-years. Males were more likely to sustain a scaphoid fracture than females. The most commonly encountered associated injuries were distal radius fractures, distal ulnar fractures, and nonscaphoid carpal bone fractures, respectively.

Conclusions Scaphoid fractures presenting to trauma centers are more commonly reported among males and those involved in motor vehicle accidents or falls. Appropriate scaphoid-specific radiographic imaging should be obtained as well as wrist and elbow images to evaluate for concomitant injuries, especially distal radius fractures.

Keywords

scaphoid fracture - National Trauma Data Bank - trauma - fall - proximal pole - waist - distal pole - incidence

Note

The views expressed in this publication are those of the author(s) and do not reflect the official policy or position of William Beaumont Army Medical Center, Department of the Army, Defense Health Agency, or the US Government.




Publikationsverlauf

Eingereicht: 29. Juli 2020

Angenommen: 05. Oktober 2020

Artikel online veröffentlicht:
11. November 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Moon ES, Dy CJ, Derman P, Vance MC, Carlson MG. Management of nonunion following surgical management of scaphoid fractures: current concepts. J Am Acad Orthop Surg 2013; 21 (09) 548-557
    PubMedGoogle Scholar
  • 2 Hove LM. Fractures of the hand. Distribution and relative incidence. Scand J Plast Reconstr Surg Hand Surg 1993; 27 (04) 317-319
    CrossrefPubMedGoogle Scholar
  • 3 Haisman JM, Rohde RS, Weiland AJ. American Academy of Orthopaedic Surgeons. Acute fractures of the scaphoid. J Bone Joint Surg Am 2006; 88 (12) 2750-2758
    CrossrefPubMedGoogle Scholar
  • 4 Kerluke L, McCabe SJ. Nonunion of the scaphoid: a critical analysis of recent natural history studies. J Hand Surg Am 1993; 18 (01) 1-3
    CrossrefPubMedGoogle Scholar
  • 5 Horii E, Nakamura R, Watanabe K, Tsunoda K. Scaphoid fracture as a “puncher's fracture”. J Orthop Trauma 1994; 8 (02) 107-110
    CrossrefPubMedGoogle Scholar
  • 6 Sutton PA, Clifford O, Davis TR. A new mechanism of injury for scaphoid fractures: ‘test your strength’ punch-bag machines. J Hand Surg Eur Vol 2010; 35 (05) 419-420
    CrossrefPubMedGoogle Scholar
  • 7 Trumble TE, Salas P, Barthel T, Robert III KQ. Management of scaphoid nonunions. J Am Acad Orthop Surg 2003; 11 (06) 380-391
    CrossrefPubMedGoogle Scholar
  • 8 Unay K, Gokcen B, Ozkan K, Poyanli O, Eceviz E. Examination tests predictive of bone injury in patients with clinically suspected occult scaphoid fracture. Injury 2009; 40 (12) 1265-1268
    CrossrefPubMedGoogle Scholar
  • 9 Grover R. Clinical assessment of scaphoid injuries and the detection of fractures. J Hand Surg [Br] 1996; 21 (03) 341-343
    CrossrefPubMedGoogle Scholar
  • 10 Powell JM, Lloyd GJ, Rintoul RF. New clinical test for fracture of the scaphoid. Can J Surg 1988; 31 (04) 237-238
    PubMedGoogle Scholar
  • 11 Parvizi J, Wayman J, Kelly P, Moran CG. Combining the clinical signs improves diagnosis of scaphoid fractures. A prospective study with follow-up. J Hand Surg [Br] 1998; 23 (03) 324-327
    CrossrefPubMedGoogle Scholar
  • 12 Kukla C, Gaebler C, Breitenseher MJ, Trattnig S, Vécsei V. Occult fractures of the scaphoid. The diagnostic usefulness and indirect economic repercussions of radiography versus magnetic resonance scanning. J Hand Surg [Br] 1997; 22 (06) 810-813
    CrossrefPubMedGoogle Scholar
  • 13 Wiesel SW. Operative Techniques in Orthopaedic Surgery. Second edition.. Philadelphia, PA: Wolters Kluwer; 2016
    Google Scholar
  • 14 Van Tassel DC, Owens BD, Wolf JM. Incidence estimates and demographics of scaphoid fracture in the U.S. population. J Hand Surg Am 2010; 35 (08) 1242-1245
    CrossrefPubMedGoogle Scholar
  • 15 Duckworth AD, Jenkins PJ, Aitken SA, Clement ND, Court-Brown CM, McQueen MM. Scaphoid fracture epidemiology. J Trauma Acute Care Surg 2012; 72 (02) E41-E45
    CrossrefPubMedGoogle Scholar
  • 16 Kozin SH. Incidence, mechanism, and natural history of scaphoid fractures. Hand Clin 2001; 17 (04) 515-524
    CrossrefPubMedGoogle Scholar
  • 17 Duckworth AD, Buijze GA, Moran M. et al. Predictors of fracture following suspected injury to the scaphoid. J Bone Joint Surg Br 2012; 94 (07) 961-968
    CrossrefPubMedGoogle Scholar
  • 18 Wolf JM, Dawson L, Mountcastle SB, Owens BD. The incidence of scaphoid fracture in a military population. Injury 2009; 40 (12) 1316-1319
    CrossrefPubMedGoogle Scholar
  • 19 Hashmi ZG, Kaji AH, Nathens AB. Practical guide to surgical data sets: National Trauma Data Bank (NTDB). JAMA Surg 2018; 153 (09) 852-853
    CrossrefPubMedGoogle Scholar
  • 20 Larsen CF, Brøndum V, Skov O. Epidemiology of scaphoid fractures in Odense, Denmark. Acta Orthop Scand 1992; 63 (02) 216-218
    CrossrefPubMedGoogle Scholar
  • 21 Sendher R, Ladd AL. The scaphoid. Orthop Clin North Am 2013; 44 (01) 107-120
    CrossrefPubMedGoogle Scholar
  • 22 Morgan WJ, Slowman LS. Acute hand and wrist injuries in athletes: evaluation and management. J Am Acad Orthop Surg 2001; 9 (06) 389-400
    CrossrefPubMedGoogle Scholar
  • 23 Sabbagh MD, Morsy M, Moran SL. Diagnosis and management of acute scaphoid fractures. Hand Clin 2019; 35 (03) 259-269
    CrossrefPubMedGoogle Scholar
  • 24 Komura S, Yokoi T, Nonomura H, Tanahashi H, Satake T, Watanabe N. Incidence and characteristics of carpal fractures occurring concurrently with distal radius fractures. J Hand Surg Am 2012; 37 (03) 469-476
    CrossrefPubMedGoogle Scholar
  • 25 Fowler TP, Fitzpatrick E. Simultaneous Fractures of the Ipsilateral Scaphoid and Distal Radius. J Wrist Surg 2018; 7 (04) 303-311
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 26 Slade III JF, Taksali S, Safanda J. Combined fractures of the scaphoid and distal radius: a revised treatment rationale using percutaneous and arthroscopic techniques. Hand Clin 2005; 21 (03) 427-441
    CrossrefPubMedGoogle Scholar
  • 27 Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am 1980; 5 (03) 226-241
    CrossrefPubMedGoogle Scholar
  • 28 Williams R, Jupiter DC, Maassen NH. The incidence and risk factors of scaphoid fracture associated with radial head and neck fracture in trauma patients. J Am Acad Orthop Surg Glob Res Rev 2019; 3 (05) e055 DOI: 10.5435/JAAOSGlobal-D-19-00055.
    CrossrefPubMedGoogle Scholar
  • 29 Jørgsholm P, Thomsen NO, Björkman A, Besjakov J, Abrahamsson SO. The incidence of intrinsic and extrinsic ligament injuries in scaphoid waist fractures. J Hand Surg Am 2010; 35 (03) 368-374
    CrossrefPubMedGoogle Scholar