Acute nondisplaced fractures of the scaphoid.
BACKGROUND
The optimal management for undisplaced scaphoid fractures has been the focus of much debate. Investigators have advocated internal fixation of these fractures; however, whether surgery improves clinically relevant patient outcomes compared with casting remains unknown.


OBJECTIVE
To determine the effect of internal fixation versus casting for undisplaced scaphoid fractures on the rates of union, return to work, grip strength, and range of motion.
Bhandari
Mohit
M
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street West, Room 2C9, Hamilton, Ontario L8N 3Z5, Canada. bhandari@sympatico.ca
Hanson
Beate P
BP
D000293:Adolescent; D000328:Adult; D000368:Aged; D002370:Casts, Surgical; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D050723:Fractures, Bone / Q000628:therapy*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D021361:Scaphoid Bone / Q000293:injuries*; D016896:Treatment Outcome; D014937:Work