Citation

Moatshe G, Godin JA, Chahla J, Cinque ME, Kennedy NI, Sanchez G, Beaulieu-Jones BR, LaPrade RF, Provencher MT. Arthroscopy 2017; 33(12): 2154-2158.

Affiliation

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.. Electronic address: mprovencher@thesteadmanclinic.com.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.arthro.2017.08.259

PMID

29102567

Abstract

PURPOSE: To report on the clinical and radiologic outcomes and complications after surgical treatment in National Football League (NFL) Combine athletes with a history of a scaphoid fracture.

METHODS: The medical records of 2,285 athletes participating in the NFL Combine from 2009 to 2015 were evaluated for a history of scaphoid, hand, or wrist injury. Clinical outcomes, including grip strength, pinch test, range of motion, and presence of pain and stiffness, were recorded. Imaging studies were evaluated for the percentage of healing, fixation treatment type, hardware complications, radiographic deformity, and presence of osteoarthritis.

RESULTS: Of the 2,285 athletes evaluated, 56 presented with a history of a scaphoid fracture. Most fractures were in the middle and proximal aspects of the scaphoid. Of the scaphoid fractures, 76% (43 players) were treated with screw fixation. Of the athletes, 36 (72%) had normal range of motion of the affected wrist, 52 (93%) reported no pain, and 44 (83%) reported no stiffness in the affected wrist. The grip strength and pinch strength were 91% and 96%, respectively, of the uninjured side. The fracture was healed in 75% of the cases; however, 34% had degenerative changes. Hardware complications were found in 15% of the athletes.

CONCLUSIONS: Good clinical outcomes can be achieved after scaphoid fractures in prospective NFL athletes. However, the rates of nonunion (25%), degenerative changes (34%), and hardware complications (15%) in this study suggest the need for close postoperative radiographic follow-up in this population of patients because their athletic demands may lead to higher rates of the aforementioned complications. LEVEL OF EVIDENCE: Level IV, retrospective study.

Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Keywords: American football

Language: en