{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T23:06:39Z","timestamp":1776294399031,"version":"3.50.1"},"reference-count":16,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"7","license":[{"start":{"date-parts":[[2008,7,1]],"date-time":"2008-07-01T00:00:00Z","timestamp":1214870400000},"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":[[2008,7]]},"abstract":"<jats:p> We report the outcome at a mean of 93 months (73 to 110) of 71 patients with an acute fracture of the scaphoid who were randomised to Herbert screw fixation (35) or below-elbow plaster cast immobilisation (36). These 71 patients represent the majority of a randomised series of 88 patients whose short-term outcome has previously been reported. Those patients available for later review were similar in age, gender and hand dominance. <\/jats:p><jats:p> There was no statistical difference in symptoms and disability as assessed by the mean Patient Evaluation Measure (p = 0.4), or mean Patient-Rated Wrist Evaluation (p = 0.9), the mean range of movement of the wrist (p = 0.4), mean grip strength (p = 0.8), or mean pinch strength (p = 0.4). <\/jats:p><jats:p> Radiographs were available from the final review for 59 patients. Osteoarthritic changes were seen in the scaphotrapezial and radioscaphoid joints in eight (13.5%) and six patients (10.2%), respectively. Three patients had asymptomatic lucency surrounding the screw. One non-operatively treated patient developed nonunion with avascular necrosis. In five patients who were treated non-operatively (16%) there was an abnormal scapholunate angle ( &gt; 60\u00b0), but in four of these patients this finding was asymptomatic. <\/jats:p><jats:p> No medium-term difference in function or radiological outcome was identified between the two treatment groups. <\/jats:p>","DOI":"10.1302\/0301-620x.90b7.20371","type":"journal-article","created":{"date-parts":[[2008,6,30]],"date-time":"2008-06-30T21:38:26Z","timestamp":1214861906000},"page":"899-905","source":"Crossref","is-referenced-by-count":70,"title":["Clinical and radiological outcome of cast immobilisation <i>versus<\/i> surgical treatment of acute scaphoid fractures at a mean follow-up of 93 months"],"prefix":"10.1302","volume":"90-B","author":[{"given":"J. J.","family":"Dias","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Dhukaram","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Abhinav","sequence":"additional","affiliation":[{"name":"Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH64 4SA, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Bhowal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. J.","family":"Wildin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Wolfe SW. Fractures of the carpus: scaphoid fractures. In: Berger RA, Weiss APC. Hand Surgery. Vol 1. Philadelphia: Lippincott, Williams and Wilkins, 2004:381."},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Bond CD, Shin AY, McBride MT, Dao KD. Percutaneous screw fixation or cast immobilization for nondisplaced scaphoid fractures. J Bone Joint Surg [Am] 2001;83-A:483\u20138.","DOI":"10.2106\/00004623-200104000-00001"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.21524"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Dias JJ, Wildin CJ, Bhowal B, Thompson JR. Should acute scaphoid fractures be fixed? a randomized controlled trial. J Bone Joint Surg [Am] 2005;87-A:2160\u20138.","DOI":"10.2106\/00004623-200510000-00002"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"D\u00fcppe H, Johnell O, Lundborg G, Karlsson M, Redlund-Johnell I. Long-term results of fracture of the scaphoid. A follow-up study of more than thirty years. J Bone Joint Surg [Am] 1994;76-A:249\u201352.","DOI":"10.2106\/00004623-199402000-00012"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Lindstr\u00f6m G, Nystr\u00f6m A. Incidence of post-traumatic arthrosis after primary healing of scaphoid fractures: a clinical and radiological study. J Hand Surgery [Br] 1990;15:11\u201313.","DOI":"10.1016\/0266-7681(90)90041-2"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B2.0830230"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B2.0830235"},{"key":"R9","unstructured":"Machin D, Campbell MJ, Fayers PM, Pinol APY. Sample size tables for clinical studies. Second ed, Oxford: Blackwell Science Ltd, 1997."},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Clay NR, Dias JJ, Costigan PS, Gregg PJ, Barton NJ. Need the thumb be immobilised in scaphoid fractures? a randomised prospective trial. J Bone Joint Surg [Br] 1991;73-B:823\u201332.","DOI":"10.1302\/0301-620X.73B5.1894676"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199811000-00009"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Bain GI, Bennett JD, MacDermid JC, et al. Measurement of the scaphoid humpback deformity using longitudinal computed tomography: intra- and interobserver variability using various measurement techniques. J Hand Surg 1998;23:76\u201381.","DOI":"10.1016\/S0363-5023(98)80093-2"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(00)80003-0"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Kehoe NJ, Hackney RG, Barton NJ. Incidence of osteoarthritis in the scaphotrapezial joint after Herbert screw fixation of the scaphoid. J Hand Surgery 2003;28:496\u20139.","DOI":"10.1016\/S0266-7681(03)00098-6"},{"key":"R15","unstructured":"Raudasoja L, Rawlins M, Kallio P, Vasenius J. Conservative treatment of scaphoid fractures: a follow up study. Ann Chir Gynaecol 1999;88:289\u201393."},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(89)90191-3"}],"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.90B7.20371","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.90B7.20371","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B7.20371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:31:51Z","timestamp":1629138711000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.90B7.20371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2008,7]]}},"alternative-id":["10.1302\/0301-620X.90B7.20371"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.90b7.20371","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7]]}}}