La fractura del escafoides carpiano en edad avanzadaAnálisis en un área de alta incidencia

  1. Garcia-Reza, Alejandro 1
  2. Dominguez-Prado, Diego Matias 1
  3. Iglesias-Nuñez, Constantino 1
  4. Oiartzabal-Alberdi, Ines 1
  5. Penin-Gomez, Cristina 1
  6. Souto-Miguez, Pablo 1
  7. Ferradas-Garcia, Lucia 1
  8. Castro-Menendez, Manuel 1
  1. 1 Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, España
Journal:
Revista iberoamericana de cirugía de la mano

ISSN: 0210-2323

Year of publication: 2023

Volume: 51

Issue: 2

Pages: 79-84

Type: Article

DOI: 10.1055/S-0043-1777080 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista iberoamericana de cirugía de la mano

Abstract

Introduction The scaphoid fracture is the most common carpal fracture. This study aimed to analyze scaphoid fracture outcomes in elderly subjects. Method This study is retrospective and observational based on all scaphoid fractures in patients over 65 years old diagnosed from 2016 to 2020. The analyzed variables included age, gender, laterality, trauma type, trauma location, fracture stability, Herbert classification, fracture line, associated injuries, dominant hand involvement, treatment type, and consolidation presence or absence. Results The study included 24 patients over 65 years old with scaphoid fractures. Seventy-five percent of the subjects were women. The incidence rate was 5.49 fractures per 100,000 inhabitants. The nonunion incidence was 8.3%. Treatment was surgical for 8.3% of patients, and 37.5% of the fractures were classified as A2. Conclusion The incidence rate of scaphoid fracture in patients over 65 years in our healthcare area is higher than the few previous reports. The female gender was more affected, and there were no significant differences in fracture consolidation when comparing conservative and surgical management.

Data source: Dialnet