The authors did continue to recommend surgical reduction and internal fixation remain the primary treatment for chronic nonunions, according to the report. The study analyzed 312 children treated between 1995 and 2010 with scaphoid fractures. The study found:
• 71 percent of fractures occurred at the scaphoid waist
• 23 percent occurred at the distal pole
• 6 percent occurred at the proximal pole
The patients with scaphoid waist fractures reported significantly higher median body mass index percentiles than patients with distal pole fractures. Men and participants in extreme or heavy contact sports were also associated with increased risk of fractures in both areas.
An additional study of 222 acute fractures showed that the 201 initially treated with casting could have good results. Of those treated with initial casting, 90 of the acute non-displaced fractures achieved union without surgery.
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Fracture Patterns Changing for Adolescent PatientsWritten by Laura Miller | December 21, 2011
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