The Journal of hand surgery, European volume · 2025
Early mobilization for suspected scaphoid injuries in children: a feasibility study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cheung Kevin, Baergen Allison K, Tsampalieros Anne, Hayawi Lamia, Livock Holly, Sachsalber Patrick, Carsen Sasha, Smit Kevin, Tice Andrew, Gammon Braden
Аннотация
BACKGROUND: The optimal management of children with a suspected scaphoid fracture and normal radiographs is unclear. Traditionally, children have been treated with empiric cast immobilization or with early CT or MRI to avoid missing an occult fracture. An early range of motion (ROM) protocol for these children may be an alternative strategy.
METHODS: We conducted a prospective study to test the feasibility and potential benefits of an early ROM protocol for children with a clinically suspected scaphoid fracture but normal radiographs. Participants were evaluated at 6 weeks and, for those with a confirmed fracture on CT, at 26 weeks after injury.
RESULTS: Of the 39 children (median age 12.2 years; interquartile range 10.6 to 13.8 years), 15 had a scaphoid fracture confirmed on CT. Participant retention rate was 36 of 39 (92%; 95% CI: 80 to 97%) at 6 weeks, and 12 of 15 (80%; 95% CI: 55 to 93%) at 26 weeks. Participants tolerated the protocol without concerns. There were no instances of non-union, avascular necrosis, or other adverse events.
CONCLUSION: An early ROM protocol for children with suspected scaphoid fractures but normal radiographs may reduce overtreatment and dependence on advanced imaging. Further study is feasible and required.
LEVEL OF EVIDENCE: III.
METHODS: We conducted a prospective study to test the feasibility and potential benefits of an early ROM protocol for children with a clinically suspected scaphoid fracture but normal radiographs. Participants were evaluated at 6 weeks and, for those with a confirmed fracture on CT, at 26 weeks after injury.
RESULTS: Of the 39 children (median age 12.2 years; interquartile range 10.6 to 13.8 years), 15 had a scaphoid fracture confirmed on CT. Participant retention rate was 36 of 39 (92%; 95% CI: 80 to 97%) at 6 weeks, and 12 of 15 (80%; 95% CI: 55 to 93%) at 26 weeks. Participants tolerated the protocol without concerns. There were no instances of non-union, avascular necrosis, or other adverse events.
CONCLUSION: An early ROM protocol for children with suspected scaphoid fractures but normal radiographs may reduce overtreatment and dependence on advanced imaging. Further study is feasible and required.
LEVEL OF EVIDENCE: III.