An ununited scaphoid fracture whose proximal fragment is small, sclerotic, fragmented, or badly deformed is usually not suitable for bone-grafting. We treated twenty-one such patients by excision of the small proximal fragment through a volar incision and the insertion of a hand-carved silicone-rubber spacer. After surgery, twenty patients (95 per cent) were able to return to work and engage in...

Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentousdisruptions. A dorsiflexion-supination force upon the hand is considered as the most common mechanism of injury.Different treatment options have been proposed for the management of this uncommon entity, ranging from conservativetreatment with closed reduction and casting to a wide ...

BACKGROUND Carpal malalignment following the malunited distal radial fracture is described to develop as an adaptation to realign the hand to the malunion. It worsens gradually after healing of the fracture due to continued loading of the wrist. It is also reported to develop during the immobilization itself rather than after fracture healing. The present work was aimed to study the natural cou...

SUMMARY: A rare case of trans-radial styloid, trans-scaphoid. trans-triquetral perilunate dislocation is described. The injury was treated by reduction and internal fixation using a Herbert screw and Kirschner wire. A good functional result was achieved. A review of the literature illustrates that early surgery is recommended. Alternative su rgical approaches are discussed. Case Report A twenty...

Results A 15 yo boy was referred to Rheumatology for left wrist swelling. His past medical history was unremarkable until 8 months prior when he began to have significant pain and progressive swelling of the left wrist. He was initially diagnosed with a fracture of the scaphoid bone for which he was casted for 2 months. After the cast was removed, the patient noticed that his symptoms persisted...