Scaphoid fractures in athletes – the importance of a diagnostic process
DOI:
https://doi.org/10.12775/JEHS.2023.13.04.039Keywords
scaphoid fracture, medical imaging, sports injuriesAbstract
Introduction and purpose: Scaphoid fractures are the most common fractures in the wrist area, yet they are still a diagnostic problem. This injury is usual among athletes, especially soccer players, basketball players, and cyclists. Early diagnosis allows for making an appropriate therapeutic decision, and thus a more efficient recovery. Imaging methods for a scaphoid fracture include X-ray, computed tomography, magnetic resonance imaging, bone scintigraphy and ultrasonography. This paper discusses and compares available diagnostic strategies and their impact on recovery in athletes.
Brief description of the state of knowledge: The article contains the current knowledge about the epidemiology, anatomy, mechanism of injury and complications of scaphoid fractures, as well as illustrates and compares
the possibilities in the field of imaging diagnostics of the injury.
Conclusion: The commonness and availability of the X-ray image does not translate into a better diagnostic result. The use of computed tomography or magnetic resonance imaging as the first choice gives certain confirmation
or exclusion of a scaphoid fracture, and thus accelerates the therapeutic process and return to sport
References
Thomas E. Trumble, Jeffrey E. Budoff, Roger Cornwall. Core Knowledge in Orthopaedics: Hand, Elbow, and Shoulder, Victoria D. Knoll, Thomas E. Trumble, CHAPTER 8 - Scaphoid Fractures and Nonunions, Mosby, 2006, Pages 116-131, ISBN 9780323027694, doi:10.1016/B978-0-323-02769-4.50012-3.
Hayat Z, Varacallo M. Scaphoid Wrist Fracture. 2022 Sep 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 30725592.
Clementson M, Thomsen N, Björkman A. Diagnostik och behandling av akuta skafoideumfrakturer [Scaphoid fractures - Guidelines for diagnosis and treatment]. Lakartidningen. 2019 Jun 18;116:FL9M. Swedish
Goffin JS, Liao Q, Robertson GA. Return to sport following scaphoid fractures: A systematic review and meta-analysis. World J Orthop. 2019 Feb 18;10(2):101-114. doi: 10.5312/wjo.v10.i2.101.
Winston MJ, Weiland AJ. Scaphoid fractures in the athlete. Curr Rev Musculoskelet Med. 2017 Mar;10(1):38-44. doi: 10.1007/s12178-017-9382-y
Herrera Ortiz AF, Guevara SZ, Ramírez SM, Cubillos Rojas J, Giraldo Malo R, Fernández Beaujon L, Ochoa MM, Zarate JF, Niño MF, Ochoa Aguilar M. What is the role of ultrasonography in the early diagnosis of scaphoid fractures? Eur J Radiol Open. 2021 May 23;8:100358. doi: 10.1016/j.ejro.2021.100358
Winston MJ, Weiland AJ. Scaphoid fractures in the athlete. Curr Rev Musculoskelet Med. 2017 Mar;10(1):38-44. doi: 10.1007/s12178-017-9382-y
Clementson M, Björkman A, Thomsen NOB. Acute scaphoid fractures: guidelines for diagnosis and treatment. EFORT Open Rev. 2020 Feb 26;5(2):96-103. doi: 10.1302/2058-5241.5.190025
Wells ME, Nicholson TC, Macias RA, Nesti LJ, Dunn JC. Incidence of Scaphoid Fractures and Associated Injuries at US Trauma Centers. J Wrist Surg. 2021 Apr;10(2):123-128. doi: 10.1055/s-0040-1720963. Epub 2020 Nov 11. PMID: 33815947; PMCID: PMC8012097.
Cassidy Ch, Should we be repairing all scaphoid fractures in the athlete? Aspetar Sports Medicine Journal, 2012;Vol 1(2):162-164
Kawamura K, Chung KC. Treatment of scaphoid fractures and nonunions. J Hand Surg Am. 2008 Jul-Aug;33(6):988-97. doi: 10.1016/j.jhsa.2008.04.026.
Wijetunga AR, Tsang VH, Giuffre B. The utility of cross-sectional imaging in the management of suspected scaphoid fractures. J Med Radiat Sci. 2019 Mar;66(1):30-37. doi: 10.1002/jmrs.302. Epub 2018 Aug 30
Schmitt R, Rosenthal H; Deutsche Gesellschaft für Unfallchirurgie (DGU, Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC), Deutsche Gesellschaft für Handchirurgie (DGH), Deutsche Gesellschaft für Plastische Rekonstruktive und Ästhetische Chirurgie (DGPRÄC), Deutsche Röntgengesellschaft (DRG), Deutsche Gesellschaft für Muskuloskelettale Radiologie (DGMSR). Imaging of Scaphoid Fractures According to the New S3 Guidelines. Rofo. 2016 May;188(5):459-69. English, German. doi: 10.1055/s-0042-104660. Epub 2016 Apr 13.
Reigstad O, Thorkildsen R, Grimsgaard C, Melhuus K, Røkkum M. Examination and treatment of scaphoid fractures and pseudarthrosis. Tidsskr Nor Laegeforen. 2015 Jun 30;135(12-13):1138-42. English, Norwegian. doi: 10.4045/tidsskr.14.1256.
Cheung JP, Tang CY, Fung BK. Current management of acute scaphoid fractures: a review. Hong Kong Med J. 2014 Feb;20(1):52-8. doi: 10.12809/hkmj134146. Epub 2013 Dec 9
Rua T, Malhotra B, Vijayanathan S, Hunter L, Peacock J, Shearer J, Goh V, McCrone P, Gidwani S. Clinical and cost implications of using immediate MRI in the management of patients with a suspected scaphoid fracture and negative radiographs results from the SMaRT trial. Bone Joint J. 2019 Aug;101-B(8):984-994. doi: 10.1302/0301-620X.101B8.BJJ-2018-1590.R1.
Mallee WH, Wang J, Poolman RW, Kloen P, Maas M, de Vet HC, Doornberg JN. Computed tomography versus magnetic resonance imaging versus bone scintigraphy for clinically suspected scaphoid fractures in patients with negative plain radiographs. Cochrane Database Syst Rev. 2015 Jun 5;2015(6):CD010023. doi: 10.1002/14651858.CD010023.pub2.
Thorpe AP, Murray AD, Smith FW, Ferguson J. Clinically suspected scaphoid fracture: a comparison of magnetic resonance imaging and bone scintigraphy. Br J Radiol. 1996 Feb;69(818):109-13. doi: 10.1259/0007-1285-69-818-109.
Williams, Robert MD; Jupiter, Daniel C. PhD; Maassen, Nicholas H. MD. The Incidence and Risk Factors of Scaphoid Fracture Associated With Radial Head and Neck Fracture in Trauma Patients. JAAOS: Global Research and Reviews 3(5):p e055, May 2019. | DOI: 10.5435/JAAOSGlobal-D-19-00055
Scott P. Steinmann, Julie E. Adams, Scaphoid fractures and nonunions: diagnosis and treatment, Journal of Orthopaedic Science, Volume 11, Issue 4, 2006, Pages 424-431, ISSN 0949-2658, doi:10.1007/s00776-006-1025-x
Kapoor S, Pawar I, Kapoor S. Posttraumatic osteonecrosis and nonunion of distal pole of scaphoid. Indian J Orthop. 2013 Jul;47(4):425-8. doi: 10.4103/0019-5413.114941.
Pandit, S., Wen, D.Y. Scaphoid fractures with unusual presentations: a case series. Cases Journal 2, 7220 (2009), doi: 10.4076/1757-1626-2-7220
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Aleksandra Matyszewska, Kamila Matyka, Jakub Sutkowski, Ewelina Wilczewska, Anna Słowiaczek, Marcin Wojnar, Alicja Baranowska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 332
Number of citations: 0