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J Wrist Surg 2019 Feb 7;8(1):37-42. Epub 2018 Aug 7.

Mayo Clinic, Rochester, Minnesota.

 Management of scapholunate (SL) ligament disruption is a challenging problem. The reduction and association of the scaphoid and lunate (RASL) procedure has been described with varying results. This study assessed the outcomes of the RASL procedure. Read More

Curr Rheumatol Rev 2019 Jan 18. Epub 2019 Jan 18.

Centre for Orthopaedic and Trauma Research Department of Orthopaedics and Trauma University of Adelaide Orthopaedic Surgeon Wakefield Orthopaedic Clinic, 270 Wakefield Street, Adelaide 5000. Australia.

Background: The carpus is a complicated and functionally challenged mechanical system and advancements in the understanding have been compromised by the recognition that there is no standard carpal mechanical system and no typical wrist. This paper cover component of a larger project that seeks to develop a kinetic model of wrist mechanics to allow reverse analysis of the specific biomechanical controls or rule of a specific patient's carpus, and then use those to create a forward mathematical model to reproduce the unique individual's anatomical motion based on the extracted rules.

Objective And Methods: Based on previous observations, the carpus essentially moves with only 2 degrees of freedom - pitch (flexion / extension) and yaw (radial deviation / ulnar deviation), while largely preventing roll (pronation / supination). Read More

Unfallchirurg 2019 Jan 3. Epub 2019 Jan 3.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

Among the carpal bones the scaphoid (Os scaphoideum) is the most important. The most frequent fracture of the carpus is a fracture of the scaphoid bone. The frequently occurring absence of healing of these fractures as well as unhealed ruptures of the ligament complex between the scaphoid and lunate, lead to the most severe biomechanical and thus the most severe clinical changes of the wrist. Read More

Curr Rheumatol Rev 2018 Dec 10. Epub 2018 Dec 10.

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, New York. United States.

Background: Scapholunate interosseous ligament (SLIL) injury following a fall on an outstretched hand may lead to carpal instability and in some cases require long term rehabilitation following repair. Rehabilitation, especially in athletes, may include pushups, but little is known as to what type of pushup may be safer.

Objective: To determine biomechanical differences between two pushup position (neutral or extended). Read More

Med Arch 2018 Oct;72(4):253-256

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.

Introduction: The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted.

Materials And Methods: In the set time frame of 6 years we treated 15 SNAC wrist cases. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13266

Hand & Foot Surgery and Reparative & Reconstruction Surgery Center, The Second, Hospital of Jilin University, Changchun, China.

Background: Surgical or nonsurgical treatment for scaphoid waist fracture with slight or no displacement is still controversial. This study compared the efficacy of the 2 methods through meta-analysis to provide a reference for the choice of clinical treatment options.

Methods: Two individuals independently searched for relevant RCTs and cohort studies from PubMed (1946-February 2018), Embase (1946-February 2018), and Cochrane library (1997-February 2018). Read More

J Hand Microsurg 2018 Dec 20;10(3):150-154. Epub 2018 Mar 20.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Divergent trapezium-trapezoid fracture dislocation is a rare and complex injury. The authors present an unusual case of dislocation of the trapezium-trapezoid complex with scaphoid fracture. A 25-year-old man suffered a road traffic accident leading to complex carpal injury due to axial and rotation forces (steer wheel injury) on the left wrist. Read More

J Hand Microsurg 2018 Dec 20;10(3):130-133. Epub 2018 Mar 20.

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, United States.

Computed tomography (CT) is increasingly used not just to diagnose union but also to estimate the percentage of the fracture gap that is bridged by healing bone. This study tested the primary null hypothesis that there is no agreement between observers on the extent of union of a scaphoid waist fracture on CT. CT scans of 13 nondisplaced scaphoid waist fractures treated nonoperatively were rated by 145 observers. Read More

J Hand Surg Asian Pac Vol 2018 Dec;23(4):450-462

1 Department of Orthopaedic Surgery, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Scaphoid fracture is the most common carpal fracture. Nonunion rate has been reported around 10 to 15% of scaphoid fractures. Risk factors for scaphoid nonunion are known as location, displacement, poor vascularity, time to treatment etc. Read More

Ulus Travma Acil Cerrahi Derg 2018 Sep;24(5):468-473

Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey.

Background: There are conflicting results regarding the duration of the plaster treatment of nondisplaced scaphoid fractures. The aim of the present study was to evaluate the healing process and to determine the role of computed tomography (CT) on shortening the duration of plaster treatment of nondisplaced scaphoid fractures.

Methods: A total of 42 patients diagnosed with nondisplaced scaphoid fractures between January 2012 and January 2014 were investigated. Read More

Zhonghua Yi Xue Za Zhi 2018 Oct;98(39):3153-3157

To explore the MRI characteristics of injuries of scapholunate ligament (SLL), and provide imaging basis for the early diagnosis and treatment of the injuries. A total of 20 healthy volunteers without wrist injuries and 30 patients who complained dorsoradial-sided wrist pain and were highly suspected as the injury of SLL underwent the wrist magnetic resonance examination and X-ray examination in Beijing Jishuitan Hospital from January 2013 to September 2017.All subjects underwent anterior and lateral radiographs of the wrist joint and examination on coronal T(1)WI scan and PD-FS on 3 planes respectively in a prone position. Read More

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

Zhongguo Gu Shang 2018 Sep;31(9):863-866

Department of Orthopaedics, the First People's Hospital of Neijiang City, Neijiang 641000, Sichuan, China.

Objective: To evaluate the feasibility of internal and external fixation after open reduction combined with suture anchors to repair the intercarpal ligaments for the treatment of perilunate injury, and to explore its operative techniques and therapeutic efficacy.

Methods: From September 2012 to September 2016, 11 patients with perilunate injury were surgically treated with Kirschner wires in intercarpal articulations, 3.0 mm cannulated screws for scaphoid fracture, absorbable anchor for intercarpal ligament repair, together with fixators at intercarpal joints, among whom 6 suffered from perilunate dislocations and 5 from trans-scaphoid fracture dislocations. Read More

J Bone Joint Surg Am 2018 Oct-Dec;8(4):e77

Department of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, Michigan.

Case: A 31-year-old Caucasian man presented with a greater arc perilunate variant injury after falling from a friend's shoulders onto an outstretched hand. Imaging revealed a minimally displaced scaphoid waist fracture and a nondisplaced transverse fracture through a previously unrecognized lunotriquetral coalition. A volar intercalated segmental instability (VISI) deformity was present. Read More

J Exerc Rehabil 2018 Aug 24;14(4):694-698. Epub 2018 Aug 24.

IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.

The main goal of this study was to determinate the extent of the relationship between shoulder pain and time of wrist and thumb immobilization required after injury. One hundred twenty-three consecutive subjects presenting to the practice of different Orthopedic Specialist hospitals with a diagnosis of distal radius or scaphoid fracture that required wrist and thumb immobilization were screened for eligibility criteria. Upper extremity pain and the need for shoulder rehabilitation were assessed using the visual analogue scale (VAS) at baseline after immobilization period (T0) 1- and 3-month follow-up (1-FU/2-FU). Read More

J Nippon Med Sch 2018 ;85(4):231-235

Department of Orthopedic Surgery, Nippon Medical School Hospital.

We report a case of trans-scaphoid perilunate fracture-dislocation with concomitant lunotriquetral ligament disruption of the right wrist in a 44-year-old man, sustained from a 10-m fall landing on his outstretched right hand. Open reduction was performed 1 day after injury; at first the palmar dislocation of the lunate was reduced with the palmar approach. Under direct view with the dorsal approach, the scaphoid was comminuted and then treated with open reduction and internal fixation with a double threshold screw using a dorsal approach and a bone graft from the distal radius. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Aug;32(8):989-992

Department of Hand Microsurgery, Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province), Luoyang Henan, 471002, P.R.China.

Objective: To explore the effectiveness of ultrasound-guided percutaneous Herbert screw for the treatment of fresh nondisplaced carpal scaphoid fracture.

Methods: Between May 2013 and August 2015, 15 patients with fresh nondisplaced carpal scaphoid fractures (Krimmer type A2) were treated with ultrasound-guided Herbert screw fixation. There were 12 males and 3 females with an average age of 33. Read More

Medicine (Baltimore) 2018 Sep;97(36):e12161

Pediatric Orthopaedic Surgery, Lenval University Children's Hospital.

Rationale: Tumors of the scaphoid are rare, and some can cause pathological fractures. No cases of pathological fractures of the scaphoid have been reported in children. The most common treatment for pathologic fractures of the scaphoid bone associated with a benign lesion in adults is surgical, with intralesional curettage associated with autologous bone grafting and internal fixation. Read More

Hand (N Y) 2018 Sep 5:1558944718797340. Epub 2018 Sep 5.

1 Saint Louis University, MO, USA.

Background: Scaphoid fractures are a common injury, and a known complication is nonunion. One option to treat this nonunion is with the Matti-Russe technique, which takes a corticocancellous graft and fits it into the defect without internal fixation. The advent of modern methods of fixation has led the classic Matti-Russe technique to fall out of favor. Read More

Am J Orthop (Belle Mead NJ) 2018 Aug;47(8)

Section of Orthopaedic Sports Medicine, Orthopaedic and Rehabilitation Centers, Chicago, IL.

Delayed unions and nonunions of the scaphoid are most often treated by open reduction and internal fixation with bone grafting. We sought to evaluate a large consecutive series of nondisplaced or minimally displaced scaphoid nonunions and delayed unions treated by a compression screw without bone grafting by 2 fellowship trained hand surgeons. A total of 23 patients (19 males, 4 females) were identified who had fractures located at the distal third (2), the waist (18), and the proximal third (3). Read More

J Wrist Surg 2018 Sep 8;7(4):319-323. Epub 2018 Jun 8.

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

 Achieving adequate fixation and healing of small proximal pole acute scaphoid fractures can be surgically challenging due to both fragment size and tenuous vascularity.  The purpose of this study was to demonstrate that this injury can be managed successfully with osteosynthesis using a "micro" small diameter compression screw with distal radius bone graft with leading and trailing screw threads less than 2.8 mm. Read More

J Wrist Surg 2018 Sep 10;7(4):303-311. Epub 2018 Apr 10.

Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

 Ipsilateral fractures of the distal radius and scaphoid are rare, with few reports describing mechanisms of injury, fracture patterns, and treatment approaches.  This article describes the clinical and radiographic features of ipsilateral distal radius and scaphoid fractures occurring simultaneously.  Electronic databases from 2007 to 2017 at a single Level 1 trauma center were reviewed for patients with concurrent fractures of the distal radius and scaphoid. Read More

J Wrist Surg 2018 Sep 24;7(4):298-302. Epub 2018 Apr 24.

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, New York.

 Little is known about changes in scaphoid and lunate supination and pronation following scapholunate interosseous ligament (SLIL) injury. Information on these changes may help explain why some SLIL reconstructions have failed and help in the development of new techniques.  To determine if following simulated SLIL injury there was an increase in scaphoid pronation and lunate supination and to determine if concurrently there was an increase in the extensor carpi ulnaris (ECU) force. Read More

J Med Radiat Sci 2018 Aug 30. Epub 2018 Aug 30.

Sydney Medical School, University of Sydney, Sydney, Australia.

Introduction: Scaphoid fractures are the commonest carpal bone fracture. If untreated they pose significant risk to patients, thus if a scaphoid fracture is suspected, patients are managed with immobilisation. Although scaphoid fractures may be difficult to diagnose on plain radiography, sometimes for months after injury, ongoing radiographic surveillance is preferred due to its low upfront cost. Read More

BMC Musculoskelet Disord 2018 Aug 29;19(1):310. Epub 2018 Aug 29.

Buckinghamshire Hospitals NHS Trust, High Wycombe Hospital, High Wycombe, Amersham, HP11 2TT, UK.

Background: The aim of this study was to assess the inter observer and intra observer reliability of acute scaphoid fracture classification methods including a novel 'long axis' measurement, a simple method which we have developed with the aim of improving agreement when describing acute fractures.

Methods: We identified sixty patients with acute scaphoid fractures at two centres who had been investigated with both plain radiographs and a CT (Computed Tomography) scan within 4 weeks of injury. The fractures were assessed by three observers at each centre using three commonly used classification systems and the 'long axis' method. Read More

Hand (N Y) 2018 Aug 24:1558944718795266. Epub 2018 Aug 24.

1 University of Texas Southwestern Medical Center, Dallas, USA.

Background: Isolated scaphoid fractures (ISFs) are common, whereas transscaphoid fracture-dislocations (TSFDs) are not. Scaphoid fracture location and the extent of comminution are factors that affect treatment and outcome. The purpose of this study is to compare the radiographic characteristics of ISFs with TSFDs associated with greater arc injury. Read More

J Bone Joint Surg Am 2018 Aug;100(16):1379-1386

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Outcomes following revision surgery for scaphoid nonunions with osteonecrosis are guarded. We hypothesized that use of free vascularized medial femoral condyle (MFC) bone grafts can lead to healing of the nonunion, increase vascularity of the proximal pole, and restore scaphoid architecture, resulting in acceptable functional outcomes.

Methods: We performed a retrospective review of 49 patients who were treated with an MFC bone graft, between May 2005 and September 2016, after prior failure of operative treatment for scaphoid nonunion. Read More

J Hand Surg Am 2018 Aug 10. Epub 2018 Aug 10.

Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ.

Purpose: Currently, there is no consensus on the optimal treatment for scaphoid nonunion with avascular necrosis (AVN). Various techniques, often involving vascularized corticocancellous bone grafting, have been proposed. The authors hypothesized that similar outcomes might be possible with volar plate fixation augmented with autogenous pure cancellous graft. Read More

Medicine (Baltimore) 2018 Aug;97(31):e11691

Department of Orthopedic Surgery, Louisiana State University Health Science Center, New Orleans.

Adult fracture nonunion risk is related to injury severity and surgical technique, yet nonunion is not fully explained by these risk factors alone; biological risk factors are also important. We test a hypothesis that risk factors associated with pediatric fracture nonunion are similar to adult nonunion risk factors.Inception cohort study in a large payer database of pediatric fracture patients (0-17 years) in the United States in calendar year 2011. Read More

J Hand Surg Eur Vol 2018 Jul 26:1753193418789329. Epub 2018 Jul 26.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, USA.

This study aimed to determine the outcome of free vascularized medial femoral condyle bone grafts in the primary treatment of scaphoid nonunions with scaphoid foreshortening or carpal collapse and intraoperatively documented avascular necrosis. Thirty-two patients (28 male, four female) met the inclusion criteria. Median time from injury to surgery was 70 weeks. Read More

J Belg Soc Radiol 2018 Jan 31;102(1). Epub 2018 Jan 31.

MSK Imaging Department, Clinique du Sport de Bordeaux-Mérignac, FR.

The keys to successful ultrasonography (US) of the wrist include knowledge of the relevant anatomy and understanding the biomechanical aspects. A wide spectrum of pathological findings including bone fractures (scaphoid, triquetrum) and ligament lesions (dorsal intercarpal and radiocarpal ligaments, scapholunate ligament) can be caused by an identical traumatic mechanism determined on the basis of the position of wrist at the time of injury. In the setting of wrist trauma, an early diagnosis can minimize the potential for inappropriate or delayed treatment. Read More

Hand (N Y) 2018 Nov 18;13(6):NP32-NP38. Epub 2018 Jul 18.

1 San Antonio Military Medical Center, TX, USA.

Background: "Floating forearm" injuries, perilunate injuries, with an elbow dislocation, are rare and challenging to treat.

Methods: We present the case of an unusual variant of a floating forearm injury, trans-scaphoid perilunate fracture dislocation and elbow dislocation, with a concomitant open both-bone forearm fracture after a fall from a ladder. Treatment involved irrigation and debridement of the forearm wound, open reduction and internal fixation of the forearm and perilunate injury, and closed reduction of the elbow. Read More

Case Rep Orthop 2018 11;2018:9591502. Epub 2018 Jun 11.

Department of Orthopaedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

Isolated dislocations of the scaphoid are extremely uncommon injuries and are often associated with significant ligamentous failures. Since scaphoid dislocations typically present with associated carpal fractures, few cases of isolated dislocations of the scaphoid exist in the literature. The proposed treatment options in the literature range from closed reduction and casting to open reduction and internal fixation. Read More

Clin Imaging 2018 Sep - Oct;51:341-346. Epub 2018 Jun 30.

Akdeniz University, Medical Faculty, Department of Anatomy, Antalya, Turkey. Electronic address:

Aim: The purpose of this study was to investigate the role of anatomic variations in distal radius radiographic indices in patients with or without scaphoid fractures.

Materials And Methods: Radial inclination (RI), volar tilt (VT), radial height (RH) and ulnar variance (UV) were measured on wrist radiographs of 320 patients with (Group I, n = 167) or without (Group II, n = 153) scaphoid fracture, fall on outstretched hand (FOOSH). Receiver operating characteristics (ROC) curve analysis was used to assess the diagnostic performance for each variable. Read More

J Hand Surg Am 2019 Feb 28;44(2):160.e1-160.e7. Epub 2018 Jun 28.

Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ.

Purpose: Treatment of scaphoid nonunion with a segmental defect presents a challenging clinical problem. Various techniques have been proposed, often involving structural grafting with vascularized and nonvascularized bone. The authors hypothesize that satisfactory clinical and radiographic outcomes are possible with a relatively simplified technique of volar plate fixation with autogenous, purely cancellous graft. Read More

Case Rep Orthop 2018 23;2018:8397638. Epub 2018 May 23.

Pan Am Clinic Foundation, 75 Poseidon Bay, Winnipeg, MB, Canada R3M 3E4.

Perilunate fracture dislocations are a rare but devastating injury, which is often missed on initial presentation leading to significant delays in treatment. With the delay in treatment and a high energy mechanism of injury, patients are at increased risk of developing complex regional pain syndrome following trauma. In this report, we review the case of a 57-year-old left-hand dominant female who presented to a clinic with a five-and-a-half-week-old transtriquetral, perilunate fracture dislocation with comminution of the scaphoid facet. Read More

Ther Clin Risk Manag 2018 19;14:1127-1131. Epub 2018 Jun 19.

Department of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, People's Republic of China.

Background: The aim of this study was to investigate the union time of acute middle-third scaphoid fractures following treatments and to analyze the effect of different factors on late union.

Patients And Methods: We retrospectively reviewed patients with acute middle-third scaphoid fracture at our institution between January 2013 and December 2017. Patient demographics, fracture characteristics, and treatment strategy, such as age, gender, body mass index, habit of smoking, sides of injury, dominant hand, ulnar variance, multiple fractures, and treatment methods, were investigated. Read More

Plast Reconstr Surg 2018 09;142(3):322e-333e

Ann Arbor, Mich. From the Section of Plastic Surgery, University of Michigan Health System.

Background: Scapholunate ligament injuries are highly challenging injuries to treat. Great uncertainly remains in determining which operative procedures are most effective. Furthermore, there is no consensus on whether surgical intervention changes the natural course of scapholunate injuries. Read More

Rev Bras Ortop 2018 May-Jun;53(3):267-275. Epub 2018 Apr 1.

Instituto de Ortopedia e Traumatologia, Hospital São Vicente de Paulo (HSVP), Universidade Federal da Fronteira Sul (UFFS), Passo Fundo, RS, Brazil.

Objective: Analyze the percutaneous fixation technique for scaphoid fractures in the waist of the scaphoid and the proximal pole, and demonstrate its result.

Methods: A retrospective cross-cohort study conducted from January 2005 to April 2015, aiming at the consolidation time, epidemiological profile, level of function, return to work, and complications.

Results: Twenty-eight patients were selected, with a mean of eight weeks of follow-up. Read More

Zhongguo Gu Shang 2018 May;31(5):441-445

Department of Orthopaedics, Changhai Hospital, Shanghai, China.

Objective: To investigate the efficacy and complications of manual reduction and external fixation for the treatment of scaphoid fractures and perilunate dislocations.

Methods: From January 2009 to January 2013, 43 patients suffered from scaphoid fractures and perilunate dislocations were retrospective analyzed. Among them, 17 cases were treated with manipulative reduction and plaster external fixation as conservation group including 10 males and 7 females, the other 26 cases were treated with application of surgical as operation group including 15 males and 11 females. Read More

BMJ Case Rep 2018 Jun 8;2018. Epub 2018 Jun 8.

Department of Orthopaedics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

We present a rare case of segmental fracture of the scaphoid. This case highlights the importance of using appropriate imaging modalities to assess the presence and morphology of fractures. Read More

PLoS One 2018 4;13(6):e0197978. Epub 2018 Jun 4.

Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital West Jutland-University Research Clinic, Herning, Denmark.

Objectives: We aimed to determine the prognosis after early MRI on clinical suspicion of scaphoid fracture, hypothesising that MRI pathology is associated with more disability and that MRI pathology and high occupational mechanical hand-arm exposures are associated with slower return to work (RTW).

Methods: We conducted a follow-up study of a cohort of 469 patients, who were scanned in the period 2006 to 2010. The respondents constituted our cohort for disability analysis and the subset that was in the labour market at the time of the trauma constituted our sub-cohort for RTW analysis. Read More

PLoS One 2018 22;13(5):e0197768. Epub 2018 May 22.

Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Introduction: Scaphoid non-union is a challenging and complex problem. Various methods have been proposed for the management of patients with scaphoid non-union and to reduce the risk of complications. In this study, our aim was to evaluate the clinical and functional outcomes of using a vascularized bone graft in the treatment of scaphoid non-union. Read More

Acta Biomed 2018 Mar 27;89(1):109-113. Epub 2018 Mar 27.

Clinical Orthopaedics, University of Turin, Turin.

Background And Aim Of Work: Total traumatic extrusion of talus with interruption of all ligaments (missing talus) is a very rare injury. We represent the case of a 44-years-old male who reported total extrusion of talus and Lisfranc dislocation after a motorbike accident. This rare injury has a wide choice of treatment but usually there is not a successful functional restore. Read More

Open Access Maced J Med Sci 2018 Mar 12;6(3):506-510. Epub 2018 Mar 12.

Pinderfields Hospital, Aberford Road, Wakefield, West Yorkshire, United Kingdom.

Introduction: We report the outcome of using a novel technique of minimally invasive internal fixation and distal radius bone grafting using the Jamishidi Trephine needle and biopsy/graft capture device.

Methods: The technique utilises a 8 mm incision at the distal pole of the scaphoid. The non-union is excavated using the standard Acutrak drill. Read More

Medicine (Baltimore) 2018 Mar;97(13):e9987

Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Shatin, N.T., Hong Kong.

The purpose of this study is to analyze the clinical results of patients with scaphoid nonunion treated with arthroscopic bone grafting and K (Kirschner)-wires fixation.We retrospectively reviewed the records of 27 patients with scaphoid nonunion who had been treated with arthroscopic bone grafting and K-wires fixation method from November 2008 to February 2014. The average patient age was 35 years. Read More

J Wrist Surg 2018 Apr 9;7(2):101-108. Epub 2017 Nov 9.

Gold Coast University Hospital, Queensland, Australia.

 An injury to the scapholunate interosseous ligament (SLIL) leads to instability in the scapholunate joint. Temporary fixation is used to protect the ligament during reconstruction or healing of the repair. Rigid screw fixation-by blocking relative physiological motion between the scaphoid and lunate-can lead to screw loosening, pullout, and fracture. Read More

J Wrist Surg 2018 Apr 14;7(2):94-100. Epub 2018 Mar 14.

Department of Physical Therapy, Osaka Yukioka College of Health Science, Osaka, Japan.

Scaphoid nonunion causes abnormal wrist kinematics and typically leads to carpal collapse and subsequent degenerative arthritis of the wrist. However, the natural history, including carpal collapse and degenerative arthritis of scaphoid nonunion, may vary at different fracture locations. This article reviews recent biomechanical studies related to the natural history of scaphoid nonunion. Read More

Indian J Orthop 2018 Mar-Apr;52(2):184-189

Department of Orthopedics and Traumatology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.

Background: It is important to diagnose a scaphoid fracture accurately and start the correct treatment in the shortest time possible. However, the fracture of bone may not be visible on x-ray. In such cases, patients are clinically diagnosed with suspected or occult scaphoid fractures. Read More