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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e79-e84
DOI: 10.1055/s-0043-1777080
Artículo Original | Original Article

Carpal Scaphoid Fracture in Elderly: Analysis in a High Incidence Area

Article in several languages: español | English
Alejandro Garcia-Reza 
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Diego Matias Dominguez-Prado 
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Constantino Iglesias-Nuñez
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Ines Oiartzabal-Alberdi
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Cristina Penin-Gomez
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Pablo Souto-Miguez
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Lucia Ferradas-Garcia
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
,
Manuel Castro-Menendez 
1   Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Estrada de Clara Campoamor, 341, 36213 Vigo, Pontevedra, Espaóa
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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.

Keywords

escafoides - fractura - edad avanzada

Statement of Ethical Responsibility

The study followed the protocol and the principles of the Declaration of Helsinki. In addition, it complied with the good clinical practice standards described by the International Council for Harmonization (ICH).




Publication History

Received: 25 October 2022

Accepted: 16 August 2023

Article published online:
05 December 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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