The Journal of Bone and Joint Surgery, Vol 76, Issue 2 249-252, Copyright © 1994 by Journal of Bone and Joint Surgery, Inc
Long-term results of fracture of the scaphoid. A follow-up study of more than thirty years
H Duppe, O Johnell, G Lundborg, M Karlsson and I Redlund-Johnell
Department of Orthopaedics, Malmo General Hospital, Sweden.
Fifty-six patients who had had a fracture of the scaphoid from January 1950
through December 1959 were interviewed, re-examined, and had radiographs
made of both hands an average of thirty-six years (range, thirty-one to
forty years) later. The average age at the time of the treatment was
twenty-eight years (range, fifteen to forty-five years). Fifty-two of the
fifty-six patients were treated at the time of the fracture; the other four
had a non-union when first seen. The rate of non-union for the fresh
fractures at the most recent follow-up examination was 10 per cent (five of
fifty-two). Dorsal intercalated-segment instability was found in three of
the fifty-six patients; all three had a pseudarthrosis and manifest
radiocarpal osteoarthrosis. Marked radiocarpal osteoarthrosis developed in
only one (2 per cent) of the forty-seven patients who had a healed
fracture; it was far more common in the group that had a pseudarthrosis, in
which the prevalence was five of nine patients. Manifest osteoarthrosis
also seemed to be associated with pain or weakness: it had developed in
only three (6 per cent) of the forty-nine patients who did not have any
symptoms at the re-examination, compared with three of the seven who had
symptoms.
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