{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:49:05Z","timestamp":1792061345808,"version":"4.4.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2001,3,1]],"date-time":"2001-03-01T00:00:00Z","timestamp":983404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2001,3]]},"abstract":"<jats:p> We compared the long-term outcome in 61 patients (62 fractures) treated operatively or conservatively for an acute fracture of the carpal scaphoid. A total of 30 fractures was randomised to conservative treatment using a cast and 32 to operative treatment using a Herbert bone screw. <\/jats:p><jats:p> The duration of sick leave was shorter for patients treated by operation, but this was only significant in patients with blue-collar occupations. There were no differences between the groups in respect of function, radiological healing of the fracture, or carpal arthritis after follow-up at 12 years. Those managed by operation showed radiological signs of arthritis of the scaphotrapezial joint more often, but this finding did not correlate with subjective symptoms. <\/jats:p><jats:p> Operative treatment of an acute fracture of the scaphoid allows early return of function and should be regarded as an alternative to conservative treatment in patients in whom immobilisation in a cast for three months is not acceptable for reasons related to sports, social life or work. <\/jats:p>","DOI":"10.1302\/0301-620x.83b2.0830230","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T19:23:50Z","timestamp":1519241030000},"page":"230-234","source":"Crossref","is-referenced-by-count":296,"title":["Fracture of the carpal scaphoid"],"prefix":"10.1302","volume":"83-B","author":[{"given":"B.","family":"Saed\u00e9n","sequence":"first","affiliation":[{"name":"Department of Orthopaedics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"T\u00f6rnkvist","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Ponzer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"H\u00f6glund","sequence":"additional","affiliation":[{"name":"Department of Radiology, Stockholm S\u00f6der Hospital, S-118 83 Stockholm, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B2.0830230","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.83B2.0830230","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:49:07Z","timestamp":1629143347000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.83B2.0830230"}},"subtitle":["A PROSPECTIVE, RANDOMISED 12-YEAR FOLLOW-UP COMPARING OPERATIVE AND CONSERVATIVE TREATMENT"],"short-title":[],"issued":{"date-parts":[[2001,3]]},"references-count":0,"aliases":["10.1302\/0301-620x.83b2.11197","10.1302\/0301-620x.83b2.11197","10.1302\/0301-620x.83b2.11197"],"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,3]]}},"alternative-id":["10.1302\/0301-620X.83B2.0830230"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.83b2.0830230","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,3]]}}}