Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This study compared the outcomes of two surgical internal fixation techniques, using either Herbert screws (HS group) or multiple pins (MP group), in the treatment of scaphoid fractures. Methods: This cross-sectional study was performed on 41 patients (23 in HS and 18 in MP groups) with unilateral scaphoid fract...

During the last twenty years great progress has been made in the diagnosis and treatment of fractures of the carpal scaphoid. Formerly non-union was the accepted end-result (Jones and Lovett 1923), but union by bone is now obtained in a high proportion of recent fractures. Nevertheless, non-union is still common. Most cases are discovered by chance or because the patient has a second injury. Ce...

RS Richards, JH Roth. Scaphoid fractures. Can J Plast Surg 1996;4(3):143-149. Scaphoid fractures are the most common carpal bone fractures and present physicians with many problems. The majority of such fractures (90%) will unite if properly treated; however a scaphoid fracture that goes on to nonunion affects a patient’s working capacity for a long period of time. This paper reviews the pathop...

BACKGROUND Negative ulnar variance can be a risk factor in Kienböck's disease, wrist instability, and scaphoid bone fracture. This study focused on the ulnar variance in wrists with scaphoid bone nonunion. METHODS We retrospectively reviewed posteroanterior wrist radiographs of 65 patients who were diagnosed as established scaphoid nonunion and underwent open reduction and bone grafting betwe...

Primary bone healing fails to occur in 5-15 % of scaphoid bones that undergo fracture fixation. Untreated, occult fractures result in nonunion up to 12 % of the time. Conventional bone grafting is the accepted management in the treatment algorithm of scaphoid nonunion if the proximal pole is vascularized. Osteonecrosis of the proximal scaphoid pole intuitively suggests a need for transfer of th...

Suspicion of scaphoid fracture is a common topic in emergency medicine. If the radiograph is inconclusive, or there are typical symptoms suggestive of a scaphoid fracture despite a negative radiograph, further investigation with cross-sectional imaging is advocated. Because of its availability, computed tomography (CT) is the primary imaging method in most departments. In recent meta-analyses, ...

Background: Fractures of the scaphoid are second most common fractures upper limb after distal radius fractures. Rapid and accurate diagnosis is needed, because delayed initiation therapy increases risk complications such as non-union avascular necrosis. Objectives: To compare between diagnostic accuracies Computed Tomography Magnetic Resonance Imaging in detecting its complications. Methods: T...

Although based on their long-term clinical evolution there appeared to be no doubt that fractures of the scaphoid modify the mechanical behavior of the carpus, the mechanisms of these modifications have not yet been investigated. This study based on finite element analysis provides insight into the sequence behind the onset of arthritis of the wrist, highlighting the existence of pressure peaks...

Introduction. Scaphotrapezial synostosis has been rarely reported in the literature and only one case underwent surgical treatment for scaphoid fracture. Presentation of Case. A 15-year-old male presented with a painful left wrist following a fall. The initial radiographs showed a displaced scaphoid proximal pole fracture and a Scaphotrapezial synostosis. The fracture was then fixed percutaneou...

isolated scaphoid dislocation is a rare injury of the wrist. to our knowledger, only 22 cases of isolated scaphoid dislocation have been reported in enghish-language literature and we could find only one case with pure radial dislocation. we present a 34-year-old man with isolated pure radial scaphoid dislocation that was treated by open reduction and repair of the scapholunate ligament and pin...