[Fractures of the scaphoid tubercle].
BACKGROUND
Avulsion fractures of the scaphoid tubercle (Herbert type A1) are rare. Recommendations in the literature focus on a four to six week plaster immobilization including the thumb. Surgery is recommended in case of additional injuries to the carpus.


METHODS
In a retrospective investigation including a 36 month period we reviewed acute fractures of the scaphoid and avulsion fractures of the scaphoid tubercle.


RESULTS
We found 81 acute scaphoid fractures, four of them (4.9 %) were isolated tuberculum avulsions. Three cases were extra-, one case an intraarticular fracture. The first were treated conservatively, the last with a percutaneous screw.


CONCLUSIONS
Following our own experiences with those rare injuries we recommend a differentiation of the fracture type into extraarticular injuries where conservative treatment should still be performed and intraarticular fractures where percutaneous screw osteosynthesis should be discussed.
Kraus
R
R
Klinik und Poliklinik für Unfallchirurgie, Justus-Liebig-Universität Giessen. Ralf.Kraus@chiru.med.uni-giessen.de
Böhringer
G
G
Meyer
C
C
Stahl
J-P
JP
Schnettler
R
R
D000208:Acute Disease; D000328:Adult; D001863:Bone Screws; D002370:Casts, Surgical; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014954:Wrist Injuries / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*