OBJECTIVE To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid. METHOD We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft and screw compression. RESULTS We obtained 100% consolidation in our sample. The mean flexion of the wrist o...

Scaphoid fractures are a common problem encountered in clinical practice. This manuscript provides an algorithm for the diagnosis, evaluation, and treatment of acute scaphoid fractures.

BACKGROUND Most scaphoid fractures though heal uneventfully with cast treatment, immobilization with cast is associated with complication like wrist stiffness. Open reduction and fixation with Herbert Screw though technically demanding procedure can yield excellent results and prevents complication like nonunions and loss of wrist function. OBJECTIVES To assess clinical outcome and radiologic...

INTRODUCTION Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed...

We have assessed the value of using a simple apparatus,the Carpal Box, in patients with suspected scaphoid fracture, to produce elongated and magnified radiographs of the carpus. The interobserver agreement between 60 observers of standard scaphoid radiographs and longitudinal and transverse Carpal Box radiographs (X-CB) was compared in 11 patients. Three-phase bone scanning was used as a compa...

Fractures of the scaphoid are the most common carpal injuries. Suspected scaphoid injuries make up a large part of the work of an accident and emergency department, and unfortunately make up a significant percentage of litigation claims. Initial radiographs cannot always detect fractures while undisplaced and subsequently untreated fractures may give rise to premature carpal collapse and degene...

This is a prospective study evaluating the efficacy of four clinical signs believed to be useful in the diagnosis of scaphoid fracture. Two hundred and fifteen consecutive patients with suspected scaphoid fracture were examined on two separate occasions to evaluate tenderness in the anatomical snuff box (ASB), tenderness over the scaphoid tubercle (ST), pain on longitudinal compression of the t...

Rotatory subluxation of the scaphoid is a well known lesion that is relatively common and results in instability of the wrist. It has been well accepted that because of the subluxation of the scaphoid, degenerative changes in the wrist may develop rapidly, and for that reason correction of the subluxation in its early stages is indicated. Over the past thirteen years, many cases of rotatory sub...

The purpose of this study was to review the clinical results of carpal ligaments injuries with scaphoid nonunion. We hypothesized that scaphoid nonunion with carpal ligament injury is associated with clinical result. We retrospectively reviewed 60 cases of -Herbert screw fixation with bone graft for scaphoid nonunions. Scapholunate (SL) and lunotriquetral (LT) ligaments lesions were confirmed b...

BACKGROUND Sometimes patients with a scaphoid fracture, especially in an acute phase of injury, can have normal radiographs and, therefore, initial diagnosis of the scaphoid fracture may be neglected. In this study, we determined the value in of clinical examination and a radiograph in the diagnosis of scaphoid fracture based on the results of a two-week follow-up magnetic resonance imaging (MR...