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document
Need the thumb be immobilised in scaphoid fractures ? A randomised prospective trial . Immobilisation of the thumb is widely believed to be important in the management of fractures of the carpal scaphoid . To assess the need for this , we randomly allocated 392 fresh fractures for treatment by either a forearm gauntlet ( Colles ' ) cast , leaving the thumb free , or by a conventional 'scaphoid ' plaster incorporating the thumb as far as its interphalangeal joint . In the 292 fractures which were followed for six months , the incidence of nonunion was independent of the type of cast used .
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Intervention_Physical
thumb be immobilised
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Intervention_Physical
Immobilisation of the thumb
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Intervention_Physical
forearm gauntlet ( Colles ' ) cast
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Intervention_Physical
conventional 'scaphoid ' plaster incorporating the thumb as far as its interphalangeal joint
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Outcome_Physical
incidence of nonunion
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Participant_Condition
scaphoid fractures
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Participant_Condition
fractures of the carpal scaphoid
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Participant_Sample-size
392
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Participant_Sample-size
292