急性肩胛骨骨折的全景回顾:描述、流行病学、病因、表现、诊断、治疗和预后

Estefanny Dayana Villafuerte Ruiz, Maricarmen Vélez Chimbo, María Elena Vélez Rojas, Lizbeth Estefanía Cárdenas Suárez, Byron Fabián Pinos Reyes, Maria Alexandra Verdugo González, Laura Karina Pauta Muevecela, Roberto Paolo Calle Tenesaca, Evelyn Daniela Rivera Rosas, Bryam Esteban Coello García
{"title":"急性肩胛骨骨折的全景回顾:描述、流行病学、病因、表现、诊断、治疗和预后","authors":"Estefanny Dayana Villafuerte Ruiz, Maricarmen Vélez Chimbo, María Elena Vélez Rojas, Lizbeth Estefanía Cárdenas Suárez, Byron Fabián Pinos Reyes, Maria Alexandra Verdugo González, Laura Karina Pauta Muevecela, Roberto Paolo Calle Tenesaca, Evelyn Daniela Rivera Rosas, Bryam Esteban Coello García","doi":"10.36713/epra16993","DOIUrl":null,"url":null,"abstract":"Introduction: Scaphoid fractures are the most common fractures of the carpal bone and commonly occur in young males. Inadequate treatment of these fractures commonly leads to pseudarthrosis, resulting in pain and significant disability. Tenderness to palpation and/or pain with axial loading of the thumb should be managed as if it were a scaphoid fracture until proven otherwise.\nObjective: to detail current information related to scaphoid fractures, description, epidemiology, etiology, presentation, diagnosis, treatment and prognosis.\nMethodology: a total of 37 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 20 bibliographies were used because the other articles were not relevant to this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: fracture, scaphoid, carpal bones, trauma, surgery.\nResults: Scaphoid fractures account for 2% to 7% of all fractures and 60% to 70% of carpal bone fractures. They are infrequent in children with approximately 3% of all pediatric hand and wrist fractures. Non-displaced fractures have high healing rates with cast treatment. Radiographs may miss fractures up to 25% of the time. Physical therapy is important in both operative and nonoperative treatment.\nConclusions: Knowledge of the clinical presentation, diagnosis and treatment of scaphoid fractures is of utmost importance, because sometimes this type of fracture can go undetected on radiographs, which can lead to complications such as pseudarthrosis. The diagnosis of scaphoid fractures is sometimes complicated, so when there is clinical suspicion, appropriate complementary examinations should be performed to better determine the pathological condition, as is the case of computed tomography. Conservative or surgical management will depend on the type of fracture. Smoking cessation is recommended to improve fracture healing and physiotherapy both after surgical and non-surgical treatment.\nKEY WORDS: fracture, scaphoid, carpal bones, trauma, surgery.","PeriodicalId":309586,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"PANORAMIC REVIEW OF ACUTE SCAPHOID FRACTURES: DESCRIPTION, EPIDEMIOLOGY, ETIOLOGY, PRESENTATION, DIAGNOSIS, TREATMENT AND PROGNOSIS\",\"authors\":\"Estefanny Dayana Villafuerte Ruiz, Maricarmen Vélez Chimbo, María Elena Vélez Rojas, Lizbeth Estefanía Cárdenas Suárez, Byron Fabián Pinos Reyes, Maria Alexandra Verdugo González, Laura Karina Pauta Muevecela, Roberto Paolo Calle Tenesaca, Evelyn Daniela Rivera Rosas, Bryam Esteban Coello García\",\"doi\":\"10.36713/epra16993\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Scaphoid fractures are the most common fractures of the carpal bone and commonly occur in young males. Inadequate treatment of these fractures commonly leads to pseudarthrosis, resulting in pain and significant disability. Tenderness to palpation and/or pain with axial loading of the thumb should be managed as if it were a scaphoid fracture until proven otherwise.\\nObjective: to detail current information related to scaphoid fractures, description, epidemiology, etiology, presentation, diagnosis, treatment and prognosis.\\nMethodology: a total of 37 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 20 bibliographies were used because the other articles were not relevant to this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: fracture, scaphoid, carpal bones, trauma, surgery.\\nResults: Scaphoid fractures account for 2% to 7% of all fractures and 60% to 70% of carpal bone fractures. They are infrequent in children with approximately 3% of all pediatric hand and wrist fractures. Non-displaced fractures have high healing rates with cast treatment. Radiographs may miss fractures up to 25% of the time. Physical therapy is important in both operative and nonoperative treatment.\\nConclusions: Knowledge of the clinical presentation, diagnosis and treatment of scaphoid fractures is of utmost importance, because sometimes this type of fracture can go undetected on radiographs, which can lead to complications such as pseudarthrosis. The diagnosis of scaphoid fractures is sometimes complicated, so when there is clinical suspicion, appropriate complementary examinations should be performed to better determine the pathological condition, as is the case of computed tomography. Conservative or surgical management will depend on the type of fracture. Smoking cessation is recommended to improve fracture healing and physiotherapy both after surgical and non-surgical treatment.\\nKEY WORDS: fracture, scaphoid, carpal bones, trauma, surgery.\",\"PeriodicalId\":309586,\"journal\":{\"name\":\"EPRA International Journal of Multidisciplinary Research (IJMR)\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EPRA International Journal of Multidisciplinary Research (IJMR)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36713/epra16993\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EPRA International Journal of Multidisciplinary Research (IJMR)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36713/epra16993","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

简介肩胛骨骨折是腕骨最常见的骨折,通常发生在年轻男性身上。对这些骨折的治疗不当通常会导致假关节,造成疼痛和严重残疾。目的:详细介绍目前与肩胛骨骨折、描述、流行病学、病因学、表现、诊断、治疗和预后相关的信息。方法:本综述共分析了37篇文章,包括综述和原创文章,以及临床病例,其中20篇参考文献被采用,因为其他文章与本研究无关。信息来源于PubMed、Google Scholar和Cochrane;搜索西班牙文、葡萄牙文和英文信息时使用的术语为:骨折、肩胛骨、腕骨、创伤、手术:结果:肩胛骨骨折占所有骨折的2%至7%,占腕骨骨折的60%至70%。肩胛骨骨折在儿童中并不常见,约占小儿手部和腕部骨折总数的3%。非移位骨折经石膏治疗后愈合率很高。X光片可能会漏诊多达25%的骨折。物理治疗在手术和非手术治疗中都很重要:掌握肩胛骨骨折的临床表现、诊断和治疗方法至关重要,因为有时这类骨折会在X光片上未被发现,从而导致假关节等并发症。肩胛骨骨折的诊断有时比较复杂,因此当临床怀疑时,应进行适当的辅助检查,以更好地确定病理情况,如计算机断层扫描。保守治疗或手术治疗取决于骨折的类型。建议戒烟,以改善骨折愈合,并在手术和非手术治疗后进行物理治疗。关键字:骨折、肩胛骨、腕骨、外伤、手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PANORAMIC REVIEW OF ACUTE SCAPHOID FRACTURES: DESCRIPTION, EPIDEMIOLOGY, ETIOLOGY, PRESENTATION, DIAGNOSIS, TREATMENT AND PROGNOSIS
Introduction: Scaphoid fractures are the most common fractures of the carpal bone and commonly occur in young males. Inadequate treatment of these fractures commonly leads to pseudarthrosis, resulting in pain and significant disability. Tenderness to palpation and/or pain with axial loading of the thumb should be managed as if it were a scaphoid fracture until proven otherwise. Objective: to detail current information related to scaphoid fractures, description, epidemiology, etiology, presentation, diagnosis, treatment and prognosis. Methodology: a total of 37 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 20 bibliographies were used because the other articles were not relevant to this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: fracture, scaphoid, carpal bones, trauma, surgery. Results: Scaphoid fractures account for 2% to 7% of all fractures and 60% to 70% of carpal bone fractures. They are infrequent in children with approximately 3% of all pediatric hand and wrist fractures. Non-displaced fractures have high healing rates with cast treatment. Radiographs may miss fractures up to 25% of the time. Physical therapy is important in both operative and nonoperative treatment. Conclusions: Knowledge of the clinical presentation, diagnosis and treatment of scaphoid fractures is of utmost importance, because sometimes this type of fracture can go undetected on radiographs, which can lead to complications such as pseudarthrosis. The diagnosis of scaphoid fractures is sometimes complicated, so when there is clinical suspicion, appropriate complementary examinations should be performed to better determine the pathological condition, as is the case of computed tomography. Conservative or surgical management will depend on the type of fracture. Smoking cessation is recommended to improve fracture healing and physiotherapy both after surgical and non-surgical treatment. KEY WORDS: fracture, scaphoid, carpal bones, trauma, surgery.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信