Evidence map›Paper›PMID 36000517›Full record

ArticleOrthopaedic surgery2022

Clinical and Epidemiological Features of Scaphoid Fracture Nonunion: A Hospital-Based Study in Beijing, China.

Yaobin Yin, Ke Xu, Nan Zhang, Zhe Yi, Bo Liu, Shanlin Chen

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Surgical treatment of carpal scaphoid non-union: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yaobin YinDepartment of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.ORCID https://orcid.org/0000-0003-0284-9801
Ke XuDepartment of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-5361-6277
Nan ZhangDepartment of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.
Zhe YiDepartment of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-7788-8165
Bo LiuDepartment of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-9712-4250
Shanlin ChenDepartment of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.ORCID https://orcid.org/0000-0003-1027-338X
Beijing Tian Tan Hospital · CN

Funding

Wu Jieping Medical Foundation of China 320.6750.2021-04-47
6 · The paper itself

Abstract

objectiveStudies exploring the epidemiological characteristics of scaphoid fracture nonunion are important to understand the causes and lead to effective prevention strategy. However, such knowledge is limited especially in China. This study aims to reveal the clinical and epidemiological features of scaphoid fracture nonunion in Chinese patients.

methodsThis was a retrospective study, which was based on patients with scaphoid fracture nonunion treated in a Chinese national orthopedic referral center from 1 August 2009 to 1 August 2020. The basic demographic and clinical characteristics, including gender, age at diagnosis of scaphoid fracture nonunion, dominant hand, the location of fracture, the side, the causes of the injury, age of the injury, age of the treatment for scaphoid fracture nonunion, and the delay period, were retrieved from the medical records. The patients were divided into a non-delay group and a delay group based on whether they had visited the doctor within 1 month after the injury. Scaphoid fracture was classified into the proximal, waist, and distal fractures according to the location. The t-test or Mann-Whitney U test was used to compare the difference between groups when the dependent variable is continuous, while a chi-square test was used when the dependent variable is categorical.

resultsA total of 363 patients were included in this study. The mean age at the diagnosis of scaphoid fracture nonunion was 32 (ranging from 14 to 78). Waist fracture nonunion (76.5%) was most common. Among the 169 patients who sought medical care within 1 month after the injury (non-delay group), more than half (90 cases) were misdiagnosed. 23 cases could not recall the injury, so the time of delay could not be determined. Among the 171 patients who did not seek medical care for acute injury (delay group), the average time was 52 months between the initial injury and the treatment. The proportion of waist nonunions was higher among patients in the delay group than that in the non-delay group.

conclusionsNonunion of scaphoid fracture is caused mainly by delayed treatment and misdiagnosis in China, suggesting that timely treatment and improved diagnosis could lower the prevalence. The fracture location may be a factor contributing to the delaying of seeking medical care.

Indexed as

Fractures, BoneFractures, UnunitedHand InjuriesScaphoid BoneWrist InjuriesBeijingFracture Fixation, InternalHospitalsHumansRetrospective StudiesEpidemiologyMisdiagnosisNonunionScaphoid fracture

Identifiers

PMID36000517
PMCPMC9531078
OpenAlexW4293212612

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.