Scaphoid bones have a high prevalence for non-union. Even with adequate treatment, bone regeneration may not occur in certain instances. Although this condition is well described, the molecular pathology of scaphoid non-unions is still poorly defined. In this study, gene expression of osteogenic and angiogenic growth and transcription factors as well as inflammatory mediators were analysed in h...

We report up-to-date one-year prospective data on the incidence of scaphoid fracture in skeletally immature patients managed in a Fracture Clinic of a Level I Trauma Centre in a University Hospital in the UK. All scaphoid fractures were immobilised until union was achieved. One hundred twenty one skeletally immature patients were referred for a suspected fracture of the scaphoid. Fourteen patie...

PURPOSE To compare outcomes of 3 fixation modalities for scaphoid non-union. METHODS 27 men and 6 women aged 20 to 48 (mean, 28) years with non-union of the scaphoid involving the proximal pole (n=13), waist (n=12), and distal pole (n=8) were randomised to undergo the Herbert screw fixation (n=11), the Matti Russe bone grafting (n=9), or the Kohlman modification of vascularised muscle pedicle...

BACKGROUND Delays in diagnosis and inadequate treatment of acute scaphoid fractures can lead to non-unions, presenting surgeons with unique challenges regarding optimal management. OBJECTIVES To evaluate the clinical and radiographic outcome of scaphoid non-unions treated with percutaneous screw fixation. METHODS The study group comprised 12 patients with scaphoid non-unions of an average d...

As per literature the immediate and late carpal tunnel syndrome in colles fracture and other wrist injuries is known but tardy carpal tunnel syndrome in fracture Scaphoid is rare. I am presenting a case of tardy carpal tunnel syndrome in patient with non-union fracture scaphoid with 40 years old injury.

OBJECTIVE Ulnar variance may be a risk factor of developing scaphoid non-union. METHODS A review was made of the posteroanterior wrist radiographs of 95 patients who were diagnosed of scaphoid fracture. All fractures with displacement less than 1mm treated conservatively were included. The ulnar variance was measured in all patients. RESULTS Ulnar variance was measured in standard posteroan...

OBJECTIVE The purpose of this study is to report the union rate and time to union for acute non-displaced scaphoid waist fractures treated with a short arm thumb spica cast. METHODS A database was searched (2006-2013) to identify acute undisplaced scaphoid waist fractures. Cases that were not given a trial of casting were excluded (n=33). X-rays, CT scans and health records for each patient w...

Trans-scaphoid, trans-radial styloid, trans-triquetral perilunate fracture dislocations are rare. We describe a 19-year-old male who suffered this injury after crashing his bicycle. He underwent open reduction internal fixation and percutaneous pinning. Scaphoid union was achieved at 8 weeks. Near complete range of painless motion was achieved by 4 months.

Avascular necrosis (AVN) of the scaphoid in children is very rare and there is currently no consensus when conservative or operative treatment is indicated. A 10-year-old boy, practicing karate, presented with acute pain in his left wrist after falling on the outstretched hand. Imaging showed a scaphoid waist fracture with signs of an ongoing AVN. The diagnosis of AVN was confirmed with signal ...

Introduction: Intramedullary nailing (IMN) of high tibia fracture has some mechanical and biological advantages over the other form of fixation. However, valgus, apex anterior malalignment and anterior displacement of proximal fragment commonly occur after isolated IMN fixation of proximal high tibia fracture. The purpose of this study is to determine the effectiveness of using 3.5-mm locking c...