3,318 results match your criteria Scaphoid Injury


[Nitinol memory alloy two foot fixator with autologous cancellous bone grafting for old scaphoid fracture and nonunion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):676-682

Department of Orthopaedics, the 920th Hospital of Joint Logistic Support Force of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To summarize the effectiveness of nitinol memory alloy two foot fixator with autologous cancellous bone grafting in treating old scaphoid fracture and nonunion.

Methods: Between January 2013 and January 2017, 11 patients of old scaphoid fracture and nonunion were treated with nitinol memory alloy two foot fixator and autologous cancellous bone grafting. All patients were male with an average age of 26. Read More

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http://dx.doi.org/10.7507/1002-1892.201910078DOI Listing

[Clinical application of nitinol memory alloy two foot fixator combined with Kirschner wire in treatment of trans-scaphoid perilunate dislocation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):671-675

Department of Orthopaedics, the 920th Hospital of Joint Logistics Support Force of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To evaluate the effectiveness of nitinol memory alloy two foot fixator combined with Kirschner wire in the treatment of trans-scaphoid perilunate dislocation.

Methods: Between September 2011 and October 2018, 17 patients with trans-scaphoid perilunate dislocation were treated with nitinol memory alloy two foot fixator and Kirschner wire. There were 12 males and 5 females, with an average age of 32. Read More

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http://dx.doi.org/10.7507/1002-1892.201911013DOI Listing

Scaphoid Malunion Clinical and Radiographic Outcomes at a Minimum of 4 Years Follow-Up.

J Hand Surg Am 2020 Jun 10. Epub 2020 Jun 10.

Department of Surgery, London, Ontario, Canada.

Purpose: To evaluate the radiographic and clinical outcomes of patients with scaphoid malunion after acute fracture at a mean of 7 years after injury.

Methods: Patients with scaphoid malunion were identified from a departmental database of acute scaphoid fractures. Patients with a scaphoid height-to-length ratio greater than 0. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.002DOI Listing

Outcomes of Local Bone Graft and Fixation of Proximal Pole Scaphoid Nascent Nonunions and Nonunions.

J Wrist Surg 2020 Jun 10;9(3):203-208. Epub 2020 Feb 10.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

 Fractures of the proximal pole of the scaphoid have an increased risk of nonunion due to its tenuous blood supply. The optimal treatment of proximal pole scaphoid nonunions remains controversial.  To review a single surgeon's experience with proximal pole scaphoid nascent nonunions (delayed unions) and nonunions that underwent surgical fixation with a cannulated headless compression screw and local autologous bone graft from the distal radius. Read More

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http://dx.doi.org/10.1055/s-0040-1701512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263866PMC

Evaluation and Management of Carpal Fractures Other Than the Scaphoid.

J Am Acad Orthop Surg 2020 Jun 4. Epub 2020 Jun 4.

From the Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

Fractures of the carpus can be debilitating injuries and often lead to chronic pain and dysfunction when not properly treated. Although scaphoid fractures are more common, fractures of the other carpal bones account for nearly half of all injuries of the carpus. Often missed on initial presentation, a focused physical examination with imaging tailored to the suspected injury is needed to identify these fractures. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00062DOI Listing

Capitate and Hamate Fracture. Case Study.

Ortop Traumatol Rehabil 2020 Apr;22(2):143-149

University Center of Anápolis - UniEVANGÉLICA.

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Read More

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http://dx.doi.org/10.5604/01.3001.0014.1185DOI Listing

Fractures of the scaphoid.

BMJ 2020 May 27;369:m1908. Epub 2020 May 27.

Guy's and St Thomas' NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1136/bmj.m1908DOI Listing

Palmar-divergent dislocation of the scaphoid and lunate treated using percutaneous pinning and pin-in-plaster: A case report.

Acta Orthop Traumatol Turc 2020 May;54(3):348-352

Department of Orthopaedic Surgery, Chung-Shan Medical University Hospital, Taichung City, Taiwan;Institute of Medicine, Chung-Shan Medical University, Taichung City, Taiwan.

Acute lunate and perilunate dislocations are not commonly observed injuries. In particular, palmar-divergent dislocation is a very rare injury with only a few cases reported in the literature. In this report, we describe the case of a 37-year-old patient with palmar-divergent dislocation of the scaphoid and lunate and discuss the mechanism of this type of injury. Read More

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http://dx.doi.org/10.5152/j.aott.2020.03.285DOI Listing

Kinetic dysfunction of the wrist with chronic scapholunate dissociation. A cadaver study.

Clin Biomech (Bristol, Avon) 2020 Jul 11;77:105046. Epub 2020 May 11.

Department of Anatomy, School of Medicine, Universitat de Barcelona, Barcelona, Spain, Carrer de Villarroel, 170, 08036 Barcelona, Spain. Electronic address:

Background: Most laboratory studies investigating scapholunate dissociations are based on normal cadaver arms with serially sectioned ligaments. It is assumed that the kinetic behavior of a ligament-sectioned wrist is similar to a scapholunate dissociation. We tested five cadaver wrists with real injuries. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.105046DOI Listing

3D mapping of scaphoid fractures and comminution.

Skeletal Radiol 2020 May 16. Epub 2020 May 16.

Flinders University, Sturt Road, Bedford Park, 5042, South Australia, Australia.

Objective: Acute and subacute scaphoid fractures were assessed using 3D computer tomography (CT). The aims were to describe fracture morphology, to map fractures onto a 3D scaphoid model and to correlate this to scaphoid anatomy.

Materials And Methods: A retrospective, multicentre database search was performed to identify CT studies of acute and subacute scaphoid fractures. Read More

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http://dx.doi.org/10.1007/s00256-020-03457-1DOI Listing

Satisfactory function 12 years after triscaphoid arthrodesis for chronic scapholunate ligament injury.

J Plast Surg Hand Surg 2020 May 15:1-7. Epub 2020 May 15.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Scapholunate ligament (SLL) injury represents a hazard to the wrist and the treatment of these injuries has been the focus of much debate. We performed a long-term follow (>10 years) of triscaphoid arthrodesis for symptomatic chronic SLL injuries in 10 (8 men) patients 37 (22-49) years of age. All arthrodesis healed. Read More

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http://dx.doi.org/10.1080/2000656X.2020.1756835DOI Listing

Streamlining Definitive Care for Occult Scaphoid Fractures: A Retrospective Review of the Workup of Scaphoid Nonunions and Applying Lessons Learned.

Mil Med 2020 May 13. Epub 2020 May 13.

Department of Orthopedics, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134.

Introduction: The process for working up scaphoid fractures from frontline providers to the specialty care clinic is variable. Initial imaging can often be negative and the management algorithm is not clearly defined. Delays in diagnosis are a contributing factor to scaphoid nonunion. Read More

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http://dx.doi.org/10.1093/milmed/usaa074DOI Listing

Factors Associated with Scaphoid Nonunion following Early Open Reduction and Internal Fixation.

J Wrist Surg 2020 Apr 20;9(2):141-149. Epub 2020 Jan 20.

Department of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York.

 Nonunion after open reduction and internal fixation (ORIF) of scaphoid fractures is reported in 5 to 30% of cases; however, predictors of nonunion are not clearly defined.  The purpose of this study is to determine fracture characteristics and surgical factors which may influence progression to nonunion after scaphoid fracture ORIF.  We performed a retrospective case-control study of scaphoid fractures treated by early ORIF between 2003 and 2017. Read More

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http://dx.doi.org/10.1055/s-0039-3402769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112999PMC

[Proximal carpectomy versus four-cornered arthrodesis in patients with lesions SLAC and SNAC].

Acta Ortop Mex 2019 May-Jun;33(3):146-149

Hospital de Traumatología y Ortopedia «Lomas Verdes». Unidad Médica de Alta Especialidad (UMAE), Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.

Advanced scafosemilunar collapse (SLAC) and advanced scaphoid pseudoarthrosis (SNAC) collapse are the result of trauma causing scaphoid fracture and the consequent pseudoarthrosis resulting in abnormal kinematics of the wrist and a scapholunate ligament injury, respectively. Current surgical options for SLAC/SNAC treatment include partial arthrodesis, carpal proximal row resection.

Material And Methods: Retrospective, cross-cutting and descriptive study was carried out in the period from January 2010 to December 2015. Read More

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The interobserver reliability of the diagnosis and classification of scaphoid fractures using high-resolution peripheral quantitative CT.

Bone Joint J 2020 Apr;102-B(4):478-484

NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Aims: Besides conventional radiographs, the use of MRI, CT, and bone scintigraphy is frequent in the diagnosis of a fracture of the scaphoid. However, which techniques give the best results remain unknown. The investigation of a new imaging technique initially requires an analysis of its precision. Read More

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http://dx.doi.org/10.1302/0301-620X.102B4.BJJ-2019-0632.R3DOI Listing

Detecting scaphoid fractures in wrist injury: a clinical decision rule.

Arch Orthop Trauma Surg 2020 Apr 3;140(4):575-581. Epub 2020 Mar 3.

Department of Trauma and Hand Surgery, Maasstad Hospital, Rotterdam, The Netherlands.

Introduction: The aim of this study was to develop and validate an easy to use clinical decision rule, applicable in the ED that limits the number of unnecessary cast immobilizations and diagnostic follow-up in suspected scaphoid injury, without increasing the risk of missing fractures.

Methods: A prospective multicenter study was conducted that consisted of three components: (1) derivation of a clinical prediction model for detecting scaphoid fractures in adult patients following wrist trauma; (2) internal validation of the model; (3) design of a clinical decision rule. The predictors used were: sex, age, swelling of the anatomic snuffbox, tenderness in the anatomic snuffbox, scaphoid tubercle tenderness, painful ulnar deviation and painful axial thumb compression. Read More

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http://dx.doi.org/10.1007/s00402-020-03383-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109163PMC

Treatment of scaphoid nonunion with 1,2 intercompartmental supraretinacular artery vascularized graft and compression screw fixation.

Injury 2020 Feb 12. Epub 2020 Feb 12.

Akdeniz University Faculty of Medicine, Department of Orthopaedics, Antalya, Turkey.

Purpose: Aim of the present study was to evaluate the clinical, functional, and radiological outcomes of 1,2-intercompartmental supraretinacular artery (1.2-ICSRA) vascularized graft technique together with compression screw fixation for the management of scaphoid nonunions.

Methods: A retrospective study was designed to evaluate the medical records of the 21 patients treated with 1,2-ICSRA vascularized graft for established scaphoid nonunion of the waist or proximal pole between 2015 and 2018. Read More

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http://dx.doi.org/10.1016/j.injury.2020.02.037DOI Listing
February 2020

3D Printing for scaphoid-reconstruction with medial femoral condyle flap.

Injury 2020 Feb 22. Epub 2020 Feb 22.

Johannes Kepler University Linz, Medical Faculty, Department of Traumasurgery and Sports Traumatology, Kepler University Hospital, Altenbergerstrasse 69, 4040 Linz, Austria; maz - Microsurgical Training and Research Center, Industriezeile 36/7, 4020 Linz, Austria.

Three-dimensional (3D) printing has emerged as an innovative technology to derive a maximum benefit from high-resolution tomography images and virtual 3D reconstructions. The present study describes a novel technique using a 3D printed model for harvesting osteochondral medial femur condyle (MFC) flap to replace the proximal pole of the scaphoid in case of proximal avascular pole. MFC bone grafting has already proved to be reasonable surgical method for this indication. Read More

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http://dx.doi.org/10.1016/j.injury.2020.02.102DOI Listing
February 2020

Hand and Wrist Injuries in the Pediatric Athlete.

Clin Sports Med 2020 Apr;39(2):457-479

The Sidney Kimmel Medical College of Thomas Jefferson University, Shriners Hospital for Children Philadelphia, 3551 North Broad Street, Philadelphia, PA 19140, USA.

This article examines the most common problematic hand and wrist injuries in the pediatric athlete. Hand and wrist injuries in the growing skeleton pose a different diagnostic and therapeutic challenge than in the mature skeleton. Ligaments are stronger than bone, and unossified cartilaginous sections of the skeleton are yet more susceptible to injury than bone. Read More

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http://dx.doi.org/10.1016/j.csm.2020.01.001DOI Listing

Carpal Instability Nondissociative Following Acute Wrist Fractures.

J Hand Surg Am 2020 Feb 25. Epub 2020 Feb 25.

Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland; HFR Fribourg/Inselspital, Bern, Switzerland.

Purpose: Carpal malalignment following intra-articular fractures has been reported in the literature, with no clear description of possible ligamentous injury leading to the radiological appearance. This study presents a series of patients that developed carpal instability nondissociative (CIND) following acute wrist fractures. The mechanism of injury is postulated by using a cadaveric laboratory investigation. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.11.018DOI Listing
February 2020

Revision surgery after vascularized or non-vascularized scaphoid nonunion repair: A national population study.

Injury 2020 Mar 28;51(3):656-662. Epub 2020 Jan 28.

Section of Plastic Surgery, Department of Surgery, Assistant Dean for Faculty Affairs, University of Michigan Medical School, Ann Arbor, MI, United States. Electronic address:

Hypothesis: We aimed (1) to discover the prevalence of vascularized bone grafting in the treatment of scaphoid nonunion and (2) to compare healing using vascularized bone grafting versus standard non-vascularized techniques. Secondarily, we sought to compare resource utilization between procedures and identify factors that may be associated with nonunion repair failure. We hypothesized that, despite being less common, vascularized bone grafts have greater success than non-vascularized bone grafting surgeries. Read More

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http://dx.doi.org/10.1016/j.injury.2020.01.035DOI Listing
March 2020
2.137 Impact Factor

Scapholunate Ligament Injury and the Effect of Scaphoid Lengthening.

J Wrist Surg 2020 Feb 20;9(1):76-80. Epub 2019 Dec 20.

Section of Orthopaedic Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

 We hypothesized that lengthening the scaphoid in a model of scapholunate ligament injury (SLI) will result in correction of radiographic markers of dorsal intercalated segment instability (DISI) deformity.  An SLI with DISI deformity was created by sectioning the SL ligament, the palmar radiocarpal ligaments, and scapho-trapezio-trapezoid ligaments of a cadaveric upper extremity (  = 5). The wrist was radiographed in both anteroposterior and lateral planes to confirm creation of SLI and DISI. Read More

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http://dx.doi.org/10.1055/s-0039-3401014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000260PMC
February 2020

Arthroscopically Assisted Bone Grafting Reduces Union Time of Scaphoid Nonunions Compared to Percutaneous Screw Fixation Alone.

J Wrist Surg 2020 Feb 5;9(1):13-18. Epub 2019 Jul 5.

Gentofte/Herlev Hospital, University of Copenhagen, Department of Orthopedic Surgery, Hand Surgery Unit, Gentofte Hospital, Kildegårdsvej, Hellerup, Denmark.

 Minimally invasive techniques have been recommended in the treatment of painful but stable scaphoid nonunions. The purpose of this study was to determine if arthroscopically assisted bone grafting provided superior results in healing as compared to percutaneous screw fixation.  One hundred sixty-four consecutive patients with scaphoid nonunions were retrospectively analyzed. Read More

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http://dx.doi.org/10.1055/s-0039-1693146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000248PMC
February 2020

Scapholunate Ligament Injury: Management Strategies From Occult Injury to Arthritis.

Instr Course Lect 2020 ;69:331-346

This chapter will explore scapholunate ligament injuries with a focus on injury recognition, diagnosis, the natural history, and options for treatment. Treatment is based upon injury factors, patient factors, and surgeon preference. The classification systems in common use will be discussed, and treatment options will be explored, including nonsurgical, arthroscopic, repair, reconstruction, pain relieving measures, and salvage procedures. Read More

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February 2020

Reevaluation of the Scaphoid Fracture: What Is the Current Best Evidence?

Instr Course Lect 2020 ;69:317-330

Scaphoid fractures are common and notorious for their troublesome healing. The aim of this review is to reevaluate the current best evidence for the diagnosis, classification, and treatment of scaphoid fractures and nonunions. MRI and CT are used to establish a "definitive diagnosis" with comparable diagnostic accuracy although neither is 100% specific. Read More

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February 2020

Comparison of the diagnostic accuracy of X-ray and computed tomography in patients with wrist injury.

Injury 2020 Mar 27;51(3):651-655. Epub 2020 Jan 27.

University of Health Sciences, Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Background: This study aimed to compare CT and XR images of patients admitted to the emergency department due to wrist injuries and to evaluate the accuracy of XR in the diagnosis of fractures.

Methods: Patients; who admitted to ED with injuries due to wrist trauma and who underwent XR imaging and CT scans in the period from 1 January 2017 to 1 January 2018, were included in the study. CT scan image interpretation reports recorded in the hospital automation system were considered eligible to be included in the study. Read More

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http://dx.doi.org/10.1016/j.injury.2020.01.034DOI Listing

Bilateral scaphoid fractures: Case report and literature review.

Int J Surg Case Rep 2020 14;66:412-415. Epub 2020 Jan 14.

College of Medicine, Imam Abdulrahman University, Dammam, Saudi Arabia.

Background: Traumatic bilateral scaphoid fractures are extremely rare. Here, we report an unusual mechanism of bilateral scaphoid fracture after road traffic accident.

Case Report: A 32-year-old male presented with bilateral wrist pain to our plastic surgery clinic six months after he was involved in a road traffic accident. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992884PMC
January 2020

Scaphoid waist fractures fixation with staple. Retrospective study of a not widespread procedure.

Injury 2019 Dec 28. Epub 2019 Dec 28.

Orthopaedics & Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy; Università Cattolica del Sacro Cuore, Roma, Italy.

Introduction: In carpal scaphoid fractures, the surgical treatment with screw is considered the gold standard; shape memory staple however presents substantial advantages. The authors report a study on unstable fractures of the scaphoid waist (type B1, B2, B5, according to Herbert classification) treated with shape memory staple on a large sample of patients, with the aim to confirm the usefulness of this method, the quality of reduction and fixation, the functional results, the time of union and the possible complications.

Materials And Methods: A retrospective analysis of 131 patients with scaphoid waist fractures with minimum follow-up 1 year was performed. Read More

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http://dx.doi.org/10.1016/j.injury.2019.12.020DOI Listing
December 2019

A Mini-Open, Dorsal Approach for Scaphoid Fracture Fixation With a Ligament Sparing Arthrotomy.

Tech Hand Up Extrem Surg 2020 Mar;24(1):32-36

Department of Orthopaedics, University of North Dakota, ND.

There are several surgical approaches that are currently used to address nondisplaced scaphoid waist fractures, including percutaneous fixation, limited exposure fixation, and traditional open techniques through a volar or dorsal approach. Although percutaneous fixation has some theoretical advantages, it is much more difficult to achieve an accurate starting point for a headless compression screw. The purpose of this paper is to describe a simple, dorsal, mini-open approach to the scaphoid that minimizes incision size, extensor tendon dissection, capsular trauma, and vascular disruption, while still allowing for direct visualization of the proximal pole and optimal exposure for accurate screw placement. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000278DOI Listing

[CT imaging features and misdiagnosis analysis of occult anterior calcaneal process fracture].

Zhongguo Gu Shang 2019 Nov;32(11):1057-1062

The 6th Department of Orthopaedics, Guangdong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai 519015, Guandong, China;

Objective: To explore CT imaging features and reason for missed diagnosis of clinical practice of occult anterior calcaneal process fracture.

Methods: From July 2013 to November 2018, the clinical data of 13 patients with occult an anterior calcaneal process fracture were retrospectively analyzed, including 2 males and 11 females, aged from 22 to 54 years old. Classification of fracture, displacement of fracture, direction of fracture line, size of fracture, with or without tarsal coalition, other fractures and misdiagnosis, the time from injury to diagnosis, condition of treatment and fracture healing were observed according to case history, data of X-ray and CT. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.11.016DOI Listing
November 2019

Experimental Study and Preliminary Clinical Application of Mini-invasive Percutaneous Internal Screw Fixation for Scaphoid Fracture under the Guidance of a 3D-printed Guide Plate.

Curr Med Sci 2019 Dec 16;39(6):990-996. Epub 2019 Dec 16.

Peking University Shenzhen Hospital, Shenzhen, 518036, China.

This study explored the feasibility of employing computer-aided design (CAD) and 3 dimensional (3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid. The study consisted of two parts: (1) experimentation on upper limbs from corpses and (2) preliminary clinical application. Corpse experiments involved upper limbs of 6 adult corpses. Read More

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http://dx.doi.org/10.1007/s11596-019-2133-0DOI Listing
December 2019

Factors Associated With Reoperation and Conversion to Wrist Fusion After Proximal Row Carpectomy or 4-Corner Arthrodesis.

J Hand Surg Am 2020 Feb 13;45(2):85-94.e2. Epub 2019 Dec 13.

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Boston, MA. Electronic address:

Purpose: Proximal row carpectomy (PRC) and 4-corner arthrodesis (FCA) are common salvage procedures for the treatment of scapholunate advanced collapse and scaphoid nonunion advanced collapse. This study aimed to assess rates of reoperation and conversion to wrist fusion and to assess the factors associated with reoperation and conversion to wrist fusion for patients treated with PRC and FCA.

Methods: A retrospective chart review was performed evaluating 266 adult patients undergoing PRC or FCA at a single institutional system from 2002 to 2016. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.10.023DOI Listing
February 2020

Vascularized pedicled graft from distal radius for scaphoid nonunion with double stabilization: A long term follow up study.

Injury 2019 Dec 23;50 Suppl 5:S59-S63. Epub 2019 Oct 23.

Department of Orthopaedics, School of Medicine University of Ioannina, Ioannina, Greece.

Purpose: The aim of the present study is to present the long-term efficacy of the graft of the distal radius based on the 1,2 intercompartmental supraretinacular artery (1,2 ICSRA) for the treatment of scaphoid nonunion with a proposed treatment of double stabilization with Kirschner wires and external fixator.

Methods: Between 2007 and 2013 we retrospectively reviewed 11 patients who were operated for established scaphoid nonunion with pedicled vascularized distal radius graft based on the 1,2 ICSRA in our department. Stabilization of the graft was achieved with Kirschner wires and the wrist was immobilized with a transarticular external fixator. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.050DOI Listing
December 2019

Self-identified functional limitations improve in patients with degenerative wrist arthritis after surgery.

J Hand Ther 2019 Nov 19. Epub 2019 Nov 19.

Department of Orthopedic Surgery, Hand, and Upper Extremity, Hospital for Special Surgery, New York, NY, USA.

Study Design: This is a prospective cohort pilot study.

Background: Degenerative wrist arthritis leads to pain, loss of strength, mobility, function, and impairments in psychological well-being. Accurate assessment of functional limitations that are unique to the individual is essential for successful treatment that best meets those specific needs. Read More

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http://dx.doi.org/10.1016/j.jht.2019.10.001DOI Listing
November 2019

Current Techniques in Scapholunate Ligament Reconstruction.

Orthop Clin North Am 2020 Jan;51(1):77-86

Hand Center of San Antonio, 21 Spurs Lane Suite #310, San Antonio, TX 78240, USA.

Scapholunate ligament injuries are common and can lead to a predictable pattern of arthritis (scaphoid lunate advanced collapse wrist) if unrecognized or untreated. This article describes the relevant anatomy, biomechanics, and classification system, and provides an up-to-date literature-based review of treatment options, including acute repair and various reconstruction techniques. It also helps guide surgeons in making decisions regarding a systematic treatment algorithm for these injuries. Read More

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http://dx.doi.org/10.1016/j.ocl.2019.09.002DOI Listing
January 2020

Scaphoid Reconstruction.

Orthop Clin North Am 2020 Jan 17;51(1):65-76. Epub 2019 Oct 17.

Division of the Orthopedics and Traumatology Department, Santa Casa Hospital Complex, Porto Alegre, Brazil; Clinica da Mao ao Cotovelo, 569/601 Soledade Street, Porto Alegre, Rio Grande do Sul 90470-340, Brazil.

Surgical strategies for scaphoid nonunions become more complex based on time from injury to treatment. The decision-making process, however, can follow a logical sequence. Scaphoid nonunions less than 1 year after trauma and no carpal malalignment can be treated with percutaneous screw fixation under fluoroscopic and/or arthroscopic guidance. Read More

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http://dx.doi.org/10.1016/j.ocl.2019.08.010DOI Listing
January 2020

Combined Pedicled Vascularized and Wedge Nonvascularized Bone Graft for Treating Scaphoid Waist Nonunion With Humpback Deformity.

Tech Hand Up Extrem Surg 2019 Dec;23(4):155-159

Department of Orthopedics, E-Da Hospital/I-Shou University, Kaohsiung City, Taiwan.

Pedicled vascularized bone graft (VBG) is a useful method in treating the scaphoid fracture nonunion, especially when the avascular necrosis exists. Humpback deformity is an important issue that we have to correct it during the treatment. We describe a method by using combined wedge non-VBG to correct the nonunion deformity when treating scaphoid nonunion with pedicled VBG. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000244DOI Listing
December 2019

Scaphoid Waist Nonunion in an 8-Year-Old: A Rare Occurrence.

Case Rep Orthop 2019 14;2019:4701585. Epub 2019 Oct 14.

Department of Orthopedic Surgery, University of Virginia Health System, Charlottesville, VA, USA.

Case: Historically, the most common pattern of pediatric scaphoid injury described is at the distal pole, which has a high rate of success with nonoperative management. Injury patterns have evolved as children are more commonly presenting with adult-type fracture patterns. We present the case of a scaphoid waist fracture in an 8-year-old male that resulted in nonunion and required surgical fixation. Read More

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http://dx.doi.org/10.1155/2019/4701585DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815601PMC
October 2019

Microvascular reconstructive techniques in orthopaedic traumatology.

Injury 2019 Dec 23;50 Suppl 5:S84-S87. Epub 2019 Oct 23.

Department of Orthopaedics and Traumatology, Cliniques Universitaires de Bruxelles, Hôpital Erasme, Université libre de Bruxelles, Brussels, Belgium. Electronic address:

Great evolution has taken place in Orthopaedic Traumatology, regarding techniques, surgical means and equipment. However, we still encounter complicated cases of limb trauma that necessitate microvascular reconstruction. Through three different illustrative cases (one emergency foot revascularization by a free flap, covering an ankle arthrodesis and bridging the anterior tibial artery, one cure of a complex infected tibial non-union with extensive skeletal defect by double barrel fibular transfer and one osteo-chondral reconstruction of the scaphoid proximal pole using a vascularized graft harvested from the femoral medial condyle), the authors remind the Orthopaedic community about the benefits of microsurgery, especially if used in proper indication and timing. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.055DOI Listing
December 2019

Mid-Term Results of the Use of a Suture Anchor Fixation for Chronic Reducible Scapholunate Dissociation.

J Hand Surg Asian Pac Vol 2019 Dec;24(4):440-446

Department of Orthopedics, Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Scapholunate dissociation (SLD) is a common and sometimes disabling ligamentous injury of the wrist. The aim of the treatment is to restore carpal alignment and to prevent joint degeneration. In the current study, we reported mid-term results of our technique using suture anchor fixation within the SL interface. Read More

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http://dx.doi.org/10.1142/S2424835519500565DOI Listing
December 2019

Performance evaluation of surgical techniques for treatment of scapholunate instability in a type II wrist.

Int J Numer Method Biomed Eng 2020 01 18;36(1):e3278. Epub 2019 Nov 18.

Wrightington Hospital, Wrightington Wigan and Leigh NHS Foundation Trust, Lancashire, UK.

We investigated the performance of three tenodesis techniques, modified Brunelli, Corella, and scapholunate axis (SLAM) methods in repairing scapholunate interosseous ligament (SLIL) disruption for a type II wrist using finite element-based virtual surgery and compared the results with those of a previous investigation for a type I wrist. In addition, a comparison of the carpal mechanics of type I and type II wrists was undertaken in order to elucidate the difference between the two types. For the type II wrist, following simulated SLIL disruption, the Corella reconstruction technique provided a superior outcome, restoring dorsal gap, volar gap, and SL angle to within 3. Read More

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http://dx.doi.org/10.1002/cnm.3278DOI Listing
January 2020

Scaphoid nonunions in adolescents: Treatment with vascularized bone grafts.

Injury 2019 Dec 21;50 Suppl 5:S50-S53. Epub 2019 Oct 21.

From the Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessaly, Larissa, Greece. Electronic address:

Introduction: Scaphoid nonunions (SN) are rare in adolescents. The use of vascularized bone grafts (VBG) from the distal radius as an alternative to conventional grafting for the treatment of established SN in adolescents is described.

Patients And Methods: The technique was applied in 13 patients with symptomatic SN resulting from fractures. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.048DOI Listing
December 2019

The surgical outcomes of trans-scaphoid perilunate fracture-dislocations

Turk J Med Sci 2020 02 13;50(1):25-30. Epub 2020 Feb 13.

Clinic of Orthopaedics and Traumatology, Haseki Research and Training Hospital, İstanbul, Turkey

1.

Background/aim: Trans-scaphoid perilunate fracture-dislocation (TSPFD) is a rare injury. TSPFD is a fracture-dislocation that severely disrupts the anatomical structure of the carpal bones and may occur as a result of a high energy trauma of the wrist or a fall on an open hand. Read More

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http://dx.doi.org/10.3906/sag-1710-163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080362PMC
February 2020
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Outcomes of the Medial Femoral Trochlea Osteochondral Free Flap for Proximal Scaphoid Reconstruction.

J Hand Surg Am 2020 Apr 17;45(4):317-326.e3. Epub 2019 Oct 17.

Curtis National Hand Center, Baltimore, MD. Electronic address:

Purpose: To describe the radiographic, functional, and patient-reported outcomes (PROs) of medial femoral trochlea (MFT) osteochondral free flap reconstruction of the proximal scaphoid at approximately 2 years follow-up.

Methods: Eleven patients who underwent MFT reconstruction of the proximal scaphoid returned for clinical examination, radiographs, and completion of PROs questionnaires. For another 10 patients who were unable to return, data were gathered remotely or from the medical record. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.08.008DOI Listing
April 2020
4 Reads

Median Nerve Injury Caused by Screw Malpositioning in Percutaneous Scaphoid Fracture Fixation.

Plast Reconstr Surg Glob Open 2019 Jun 25;7(6):e2292. Epub 2019 Jun 25.

Division of Hand Surgery, Policlinico of Modena, Modena, Italy.

An unusual complication of percutaneous fixation of a schapoid fracture in a 36-year-old man is described. After this surgery, the patient complained of numbness and tingling within the median nerve distribution and thenar weakness. An Electromyography showing moderate CTS had led to carpal tunnel decompression, which resulted unsuccessful. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6635190PMC
June 2019
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Extensor Carpi Radialis Longus Tenodesis Using a Biotenodesis Screw for Treatment of Symptomatic Geissler 2 Scapholunate Dissociation.

J Hand Microsurg 2019 Oct 19;11(Suppl 1):S53-S58. Epub 2019 May 19.

Department of Trauma and Orthopaedics, Ashford & St Peters Hospitals NHS Foundation Trust, Chertsey, Surrey, United Kingdom.

Treatment of scapholunate dissociation (SLD) depends on the degree of injury. We present our technique of extensor carpi radialis longus (ECRL) tenodesis for Geissler grade 2 SLD and our preliminary results. After arthroscopic confirmation of Geissler grade 2 SLD, we use a single incision and a polyetheretherketone (PEEK) anchor, attaching half of the ECRL tendon to the scaphoid. Read More

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http://dx.doi.org/10.1055/s-0039-1683943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791803PMC
October 2019
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Trapezoid Fracture Associated with Scaphoid Fracture in a Football Goalkeeper.

Case Rep Orthop 2019 5;2019:7949754. Epub 2019 Sep 5.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

Introduction: Trapezoid fractures are uncommon in sports. We presented a rare case of a trapezoid fracture associated with a scaphoid fracture caused by punching a ball in a football goalkeeper.

Case Presentation: A 19-year-old male who played as a football goalkeeper visited our hospital with complaints of sustained pain from the right wrist to the hand after punching a ball. Read More

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http://dx.doi.org/10.1155/2019/7949754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748175PMC
September 2019
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[Occult scaphoid fractures: current evidence and diagnostic algorithm].

Unfallchirurg 2020 Mar;123(3):238-243

Handchirurgie, Orthopädie und Traumatologie, Bürgerspital Solothurn, 4500, Solothurn, Schweiz.

Scaphoid fractures are frequent but are overlooked in 20-40% of cases on initial radiographs. In so-called occult scaphoid fractures, i.e. Read More

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http://dx.doi.org/10.1007/s00113-019-00722-4DOI Listing
March 2020
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Approach to Isolated Trapezoid Fractures.

Ochsner J 2019 ;19(3):271-275

Department of Orthopedics, Ochsner Clinic Foundation, New Orleans, LA.

The trapezoid is the least commonly fractured carpal bone, comprising 4% of all carpal fractures. To date, few articles have been published on isolated trapezoid fractures. Mechanisms of injury have typically been reported as an axial load, with or without forced wrist flexion/extension, that is transmitted from the second metacarpal indirectly to the trapezoid. Read More

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http://dx.doi.org/10.31486/toj.18.0157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6735605PMC
January 2019
2 Reads