Background: The I-Space is a radiological imaging system in which Computed Tomography (CT)-scans can be evaluated as a three dimensional hologram. The aim of this study is to analyze the value of virtual reality (I-Space) in diagnosing acute occult scaphoid fractures.   Methods: A convenient cohort of 24 patients with a CT-scan from prior studies, without a scaphoid fracture on radiograph, ye...

AIM To characterise current management of adult patients with possible occult scaphoid fracture in Australasian emergency departments. METHODS Internet-based survey of Directors of Emergency Medicine Training throughout Australasia. Data collected included the most common management used in ED for patients with possible occult scaphoid fracture and whether there was a guideline regarding mana...

The scaphoid is the most commonly fractured bone in the carpus. Although greater than 90% of scaphoid fractures unite with cast immobilization, failure to heal remains a clinical reality, particularly when the fracture is displaced or associated with intracarpal instability [1–3]. Dabezies [4] reported a 55% incidence of nonunion and a 50% rate of proximal pole avascular necrosis (AVN) in scaph...

A 24-year-old male presented to the ED after a fall of approximately 25 feet from a rooftop. As he landed, he attempted to break his fall with an outstretched hand. His injuries were limited to right-sided acetabular and pubic rami fractures, and the wrist fracture-dislocation shown here (Figs. 1, 2, 3, 4). Perilunate dislocations are often accompanied by scaphoid fractures due to the stresses ...

Whereas avascular necrosis of the scaphoid after a fracture is well-documented, idiopathic avascular necrosis of the scaphoid (Preiser's disease) is rare. Little is known of the aetiology of the condition and even less about the best course of management. We describe a rare case of bilateral Preiser's disease. Possible aetiological factors and a summary of the current concepts of management are...

We studied 45 patients with 46 fractures of the scaphoid who presented sequentially over a period of 21 months. MRI enabled us to relate the pattern of the fracture to the blood supply of the scaphoid. Serial MRI studies of the four main patterns showed that each followed a constant sequence during healing and failure to progress normally predicted nonunion.

If neglected or misdiagnosed, non-union of a scaphoid fracture will almost inevitably progress to radiographic and symptomatic osteoarthritis of the wrist with subsequent morbidity and lifelong disability, especially in young males in which the fracture is more common. Fractures of the scaphoid bone are the most common fractures of the carpus and second in occurrence among fractures of the wris...

BACKGROUND Many patients with suspected scaphoid fractures but negative radiographs are immobilized for ≥ 2 weeks and are eventually found to have no fracture. Bone scans are reportedly 99% sensitive for these injuries if done ≥ 72 hours postinjury. OBJECTIVE The purpose of this study was to determine if early bone scans would allow for shorter cast immobilization periods in patients with sus...

introduction fracture - dislocations of the talus are typically due to high energy injuries. displaced fracture - dislocations of the talus have poor outcomes in general and complications are common. although talar fracture is common and comprises the second most common tarsal fracture, bilateral fracture - dislocations of the talus are rare. not many reports regarding the subject can be found ...

BACKGROUND: The scaphoid is the most prominent of the carpal bones in the first row and the most frequently fractured of all the carpal bones. Bilateral simultaneous scaphoid fractures are uncommon. OBJECTIVE: To report bilateral simultaneous fractures of the carpal scaphoid bones and their successful treatment with bilateral thumb spacia casts METHODS: A 28-year-old medical practitioner presen...