4,731 results match your criteria Scaphoid Injury


Rediscovered identity of the scaphocephalic skull housed in the museum of the Department of Anatomy of the Medical College of the Jagiellonian University.

Folia Med Cracov 2018 ;58(3):5-10

Department of Anatomy, Jagiellonian University Medical College Kopernika 12, Kraków, Poland.

A personal data referring to the scaphoid skull housed in the Department of Anatomy of the Jagiellonian University, Medical College was established thanks to reviewing 19th century literature performed by Dr. Soficaru. We received information that the skull had belonged to an adult man who was a carpenter, born at Cracow. Read More

View Article
January 2018
1 Read

FCR Interposition Arthroplasty for Concomitant STT and CMC Arthritis.

Tech Hand Up Extrem Surg 2018 Nov 30. Epub 2018 Nov 30.

Christine M. Kleinert Institute, University of Louisville, Louisville, KY.

Arthritis of scaphotrapeziotrapezoid joint is common and can be seen in association with first carpal metacarpal (CMC) arthritis. Untreated scaphotrapeziotrapezoid arthritis may be a cause of residual pain after CMC arthroplasty. There are various treatment options described in the literature ranging from arthrodesis, resection arthroplasty, interpositional arthroplasty, and implant arthroplasty. Read More

View Article
November 2018
1 Read

The Advantages of Type III Scaphoid Nonunion Advanced Collapse (SNAC) Treatment With Partial Carpal Arthrodesis in the Dominant Hand: Results of 5-year Follow-up.

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

View Article
October 2018

Surgical versus nonsurgical treatment for scaphoid waist fracture with slight or no displacement: A meta-analysis and systematic review.

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

View Article
November 2018

A Rare Case of Complex Carpal Injury: Divergent Trapezium-Trapezoid Fracture Dislocation.

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

View Article
December 2018
1 Read

Reliability of Diagnosis of Partial Union of Scaphoid Waist Fractures on Computed Tomography.

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

View Article
December 2018

Treatment for proximal pole scaphoid nonunion with capsular-based vascularized distal radius graft.

Eur J Orthop Surg Traumatol 2018 Nov 24. Epub 2018 Nov 24.

Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Orthopaedic Specialists - UPMC, 9104 Babcock Blvd, 5th Floor, Pittsburgh, PA, 15237, USA.

Purpose: We retrospectively reviewed the results of 89 patients with proximal pole scaphoid nonunion, 58 with avascular necrosis, treated with a capsular-based vascularized distal radius graft.

Methods: Seventy-one male and eighteen female patients with symptomatic nonunion at the proximal pole of the scaphoid were included in this study. No patient had a humpback deformity. Read More

View Article
November 2018
1 Read

HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL.

Acta Ortop Bras 2018 ;26(5):290-293

Hospital Alvorada Moema, São Paulo, SP, Brazil.

Objective: To verify how hand surgeons manage scaphoid fractures and their complications.

Methods: Two hundred questionnaires were distributed during the 36 Brazilian Hand Surgery Congress (2016).

Results: On suspicion of fracture without radiographic confirmation, 57% of surgeons request a CT or MRI scan, while 43% opt for immobilization and consecutive radiographs. Read More

View Article
January 2018
2 Reads

Internal fixation with Kirschner wires is as efficient as rigid screw fixation in scaphoid fracture: long-term functional outcome.

Acta Orthop Belg 2018 Mar;84(1):99-104

This study aimed to compare the long-term efficacy of Kirschner wires and Herbert screw internal fixation in scaphoid fracture. A retrospective chart with radiographic review and functional follow-up was conducted for patients with the scaphoid fracture. 65 patients (40 for K-wire fixation and 25 for Herbert screw) were enrolled. Read More

View Article

MR angiogram confirms sustained blood flow in 1,2 ICSR artery of vascularized bone grafting in scaphoid nonunion treatment.

Eur J Orthop Surg Traumatol 2018 Nov 15. Epub 2018 Nov 15.

Department of Orthopaedics, Medical School, University of Thessaly, 1 Panepistimiou Str, Biopolis, 41110, Larissa, Greece.

Purpose: To evaluate the functioning of 1,2 intercompartmental supraretinacular artery (ICSRA) in vascularized bone grafting (VBG) of scaphoid nonunions with avascular necrosis of proximal pole.

Materials And Methods: Fourteen patients with scaphoid nonunion were treated operatively with 1,2 ICSRA VBG. Viability of the pedicle artery was evaluated by MR angiography with intravenous contrast agent. Read More

View Article
November 2018
1 Read

Surgical Strategy for Scaphoid Nonunion Treatment.

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

View Article
December 2018
5 Reads

Midcarpal Arthrodesis Biomechanics: Memory Staples versus Cannulated Screws.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):474-478

* The Sydney Hospital Hand Unit, Sydney Hospital, Sydney, Australia.

Background: Midcarpal arthrodesis is a treatment of choice in patients with midcarpal arthritis. Traditionally a four corner fusion has been favoured, however recent research has shown improved results when the triquetrum and scaphoid are excised. There is no clear evidence as to which remaining bones should be fused or which implants should be used. Read More

View Article
December 2018

The Efficacy Of 1,2- Intercompartmental Supraretinacular Artery Pedicled Vascularised Bone Graft For Scaphoid Proximal End Non-Union And Avascular Necrosis.

Acta Orthop Belg 2017 Dec;83(4):589-598

The aim is to show the efficacy of 1,2-intercompartmental supraretinacular artery pedicled vascularised bone graft in treatment of scaphoid non-union with concomitant proximal end avascular necrosis retrospectively. Twentytwo cases of scaphoid nonunion with concomitant proximal end avascular necrosis were evaluated. Radiographic evaluation was made with radiographs, computed tomography, and magnetic resonance imaging. Read More

View Article
December 2017
4 Reads

Volar Vascularized Strut Graft for Avascular Scaphoid Nonunion Using the 1,2 Intercompartmental Supraretinacular Artery.

Tech Hand Up Extrem Surg 2018 Nov 1. Epub 2018 Nov 1.

Department of Orthopaedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA.

In this retrospective study, we report the preliminary results of a novel technique for volar vascularized strut grafting to treat avascular scaphoid nonunion by using the 1,2 intercompartmental supraretinacular artery through a single incision. Forty-three of 45 patients with avascular scaphoid nonunion healed at a mean of 13 weeks (range, 3 to 10 mo). Complications consisted of 1 pin tract infection that resolved with oral antibiotics and 4 cases of transient dysesthesia of the radial sensory nerve. Read More

View Article
November 2018
5 Reads

Does computerized tomography help to shorten the immobilization period in the plaster treatment of nondisplaced scaphoid fractures?

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

View Article
September 2018
2 Reads

[The classification and MR imaging of scapholunate ligament injuries].

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

View Article
October 2018
5 Reads

Braces and Splints for Common Musculoskeletal Conditions.

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

View Article
November 2018
7 Reads

Biomechanical Strength of Scaphoid Partial Unions.

J Wrist Surg 2018 Nov 26;7(5):399-403. Epub 2018 Jun 26.

Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee.

 It remains unknown how much force a partially united scaphoid can sustain without refracturing. This is critical in determining when to discontinue immobilization in active individuals.  The purpose of this study was to test the biomechanical strength of simulated partially united scaphoids. Read More

View Article
November 2018

Short-Term Results after Total Trapeziectomy with a Poly-L/D-Lactide Spacer.

J Wrist Surg 2018 Nov 2;7(5):394-398. Epub 2018 Jul 2.

Department of Orthopaedics and Traumatology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

 Proximal migration of the first metacarpal can be seen after total trapeziectomy and various techniques have been described to prevent this subsidence.  We hypothesized the insertion of a poly-L/D-lactide spacer to prevent proximal migration of the first metacarpal without the need of an additional ligament reconstruction, allowing early mobilization and less demanding rehabilitation.  Ten thumbs were treated with a total trapeziectomy and insertion of a poly-L/D-lactide scaffold. Read More

View Article
November 2018
3 Reads

Distinct Wrist Patterns Founded on Measurements in Plain Radiographs.

J Wrist Surg 2018 Nov 17;7(5):366-374. Epub 2018 Jun 17.

School of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

 In joints, structure dictates function and consequently pathology. Interpreting wrist structure is complicated by the existence of multiple joints and variability in bone shapes and anatomical patterns in the wrist. Previous studies evaluated lunate and capitate shape in the midcarpal joint, and two distinct patterns have been identified. Read More

View Article
November 2018

Vascularized Thumb Metacarpal Periosteal Flap for Scaphoid Nonunion in Adolescents: A Prospective Cohort Study of 12 Patients.

J Hand Surg Am 2018 Oct 18. Epub 2018 Oct 18.

Pediatric Hand Surgery and Microsurgery Unit, Hospital Sant Joan de Deu, Universitat de Barcelona, Barcelona, Spain.

Purpose: To evaluate clinical and radiological outcomes after surgical treatment of scaphoid nonunion in adolescents with a vascularized thumb metacarpal periosteal pedicled flap (VTMPF).

Materials And Methods: Twelve patients younger than 18 years with scaphoid nonunion, who underwent a VTMPF procedure without bone grafting, were included for this prospective cohort study, at a mean follow-up of 10.2 months. Read More

View Article
October 2018
7 Reads

Feasibility of Ultrasound in Infant Wrist and Thumb Imaging.

J Ultrasound Med 2018 Oct 20. Epub 2018 Oct 20.

Orthopedic Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.

Objectives: To determine the feasibility of ultrasound (US) in infant lateral carpal and base-of-the-thumb imaging. We hypothesized that US would be a practical modality for visualizing the unossified structures.

Methods: Institutional review board approval was obtained for this single-center pilot study. Read More

View Article
October 2018
1 Read

[Open reduction and internal and external fixation combined with anchor repair of intercarpal ligament for the treatment of peripheral injury of lunate bone].

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

View Article
September 2018
8 Reads

Automatic Annotation Tool to Support Supervised Machine Learning for Scaphoid Fracture Detection.

Stud Health Technol Inform 2018 ;255:210-214

Division of Medical Information Sciences Geneva University Hospitals and University of Geneva.

The aim of this work is to develop and validate an automatic annotation tool for the detection and bone localization of scaphoid fractures in radiology reports. To achieve this goal, a rule-based method using a Natural Language Processing (NLP) tool was applied. Finite state automata were constructed to detect, classify and annotate reports. Read More

View Article
January 2018
3 Reads

Greater Arc Perilunate Injury Through a Lunotriquetral Carpal Coalition: A Case Report.

J Bone Joint Surg Am 2018 Oct 10. Epub 2018 Oct 10.

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

View Article
October 2018
40 Reads

Overstuffing of Unstable Scaphoid Nonunions: A Radiographic Analysis of Carpal Parameters.

J Hand Surg Am 2018 Oct 6. Epub 2018 Oct 6.

Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN.

Purpose: The purpose of this study was to radiographically evaluate scaphoid length and carpal parameters before and after reconstruction of nonunions with interposition vascularized medial femoral condyle (MFC) bone graft to determine if the scaphoid was overstuffed or if normal anatomy was restored and to determine the effect on ulnar carpal translocation when the volar radiocarpal ligaments were left unrepaired.

Methods: Thirty-nine patients with established scaphoid nonunions with carpal collapse were reconstructed by interposition vascularized MFC bone grafts without repair of the volar radiocarpal ligaments. Pre- and postoperative radiographs and computed tomography scans of the 39 patients were reviewed. Read More

View Article
October 2018
11 Reads

Editorial Commentary: The Practical Goal of Arthroscopic Osteosynthesis for the Treatment of Unstable Scaphoid Nonunion.

Arthroscopy 2018 Oct;34(10):2819-2820

Dankook University School of Medicine.

Arthroscopic reduction with osteosynthesis using bone grafting has become a successful alternative to open techniques for the treatment of chronically unstable scaphoid nonunions. Several studies have demonstrated that arthroscopic techniques are safe and reproducible in addition to causing less soft tissue damage and providing promising short- and mid-term results. However, these techniques have limitations in restoring normal carpal alignment, especially in patients with unstable scaphoid nonunion and carpal collapse deformities, although this does not affect the recovery of clinical function. Read More

View Article
October 2018
1 Read

Duration of wrist immobilization is associated with shoulder pain in patients with after wrist immobilization: an observational study.

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

View Article
August 2018
3 Reads

Trans-scaphoid Perilunate Fracture-dislocation with Concomitant Lunotriquetral Ligament Disruption: A Case Report.

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

View Article
November 2018
1 Read

An Epidemiologic Perspective on Scaphoid Fracture Treatment and Frequency of Nonunion Surgery in the USA.

HSS J 2018 Oct 4;14(3):245-250. Epub 2018 Jun 4.

3Hospital for Special Surgery, New York, NY USA.

Background: Scaphoid fractures treated non-operatively and operatively may be complicated by nonunion.

Questions/purposes: We sought to test the primary hypothesis that the incidence density of scaphoid fracture treatment is higher than previously estimated, to determine the frequency and risk factors for nonunion treatment, and to determine whether the frequency of surgical treatment increased over time.

Methods: The MarketScan database was queried for all records of treatment (casting and surgery) for closed scaphoid fractures over a 6-year period. Read More

View Article
October 2018

[Arthroscopic Resection and Spongioplasty of Scapholunate Joint in Treating Chronic Dynamic Scapholunate Instability].

Acta Chir Orthop Traumatol Cech 2018 ;85(1):34-39

Traumatologická klinika Lékařské fakulty Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY The study evaluated the method of arthroscopic stabilisation of dynamic scapholunate (SL) instability by scapholunate joint resection using bone graft to create synarthrosis between the scaphoid and lunate. MATERIAL AND METHODS Twenty-six patients with chronic dynamic SL instability of Geisler-Messina - EWAS grade IIIB, C and IV were treated by artificial synarthrosis of SL joint using an arthroscopic technique. The mean follow-up period of the patients was 32. Read More

View Article
January 2018
2 Reads

APSI scaphoid hemiarthroplasty - long-term results.

Rev Bras Ortop 2018 Sep-Oct;53(5):582-588. Epub 2018 Aug 2.

Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal.

Objective: This study is aimed at evaluating the long-term results of proximal scaphoid hemiarthroplasty for post-traumatic avascular necrosis at this institution.

Methods: Twelve patients who underwent this procedure were identified, and the mean follow-up time was 6.5 years (range: 5-8 years). Read More

View Article
August 2018
1 Read

The Effect of Radioscapholunate Fusion With and Without Distal Scaphoid and Triquetrum Excision on Capitolunate Contact Pressures.

J Hand Surg Am 2018 Sep 18. Epub 2018 Sep 18.

Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA. Electronic address:

Purpose: To determine the effects of motion-increasing modifications to radioscapholunate (RSL) arthrodesis on capitolunate contact pressure in cadaveric wrist specimens.

Methods: Ten fresh-frozen cadaveric wrists were dissected of all superficial soft tissue, potted in polymethyl-methacrylate, and the carpus exposed via a ligament-sparing capsulotomy. An RSL arthrodesis was simulated using 2 2. Read More

View Article
September 2018
8 Reads

[Ultrasound-guided percutaneous Herbert screw for the treatment of fresh nondisplaced carpal scaphoid fracture].

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

View Article
August 2018
3 Reads

Preiser disease after repeated local glucocorticoid injections: A case report.

Medicine (Baltimore) 2018 Sep;97(38):e12413

Department of Orthopaedic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Rationale: Preiser disease or avascular necrosis (AVN) of the scaphoid causes intolerable wrist pain and malalignment of the carpal bones. In previously reported cases, patients have had a history of steroid use for systemic illness such as autoimmune hemolytic anemia, systemic lupus erythematosus, or renal transplantation, or have had other risk factors, such as smoking, alcoholism, or infection. In particular, systemic glucocorticoid therapy has been most commonly associated with the disease. Read More

View Article
September 2018
1 Read

Arthroscopy-assisted treatment of scaphoid and lunate cysts: Clinical evaluation of 7 cases.

Hand Surg Rehabil 2018 Dec 14;37(6):358-362. Epub 2018 Sep 14.

University Hospital Center of Amiens, avenue Rene-Laennec, 80480 Salouel, France.

Intraosseous cysts of the carpus are relatively common benign tumors. They are often discovered by chance and can cause wrist pain thereby requiring appropriate management. While conventional open surgical treatment leads to good results, it has certain disadvantages, the main one being postoperative stiffness. Read More

View Article
December 2018
13 Reads

[Treatment of rigid congenital clubfoot with Ilizarov technique in older children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1267-1270

Orthopedic Center of Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, 400014, P.R.China.

Objective: To investigate the effectiveness of Ilizarov technique in treatment of rigid congenital clubfoot in older children.

Methods: A clinical data of 55 patients (69 feet) with rigid congenital clubfoot (Diméglio grade Ⅳ) between September 2005 and September 2015 were retrospectively analyzed. There were 33 boys and 22 girls with an average age of 11 years (mean, 6-14 years). Read More

View Article
October 2018
1 Read

A Unique Presentation of Scaphocapitate Syndrome With Extrusion Into the Carpal Tunnel: A Case Report.

Hand (N Y) 2018 Nov 12;13(6):NP39-NP45. Epub 2018 Sep 12.

2 NYU Langone Orthopedic Hospital, NYU Langone Health, New York City, USA.

Background: Scaphocapitate syndrome is a rare variety of perilunate instability, described as a trans-scaphoid, trans-capitate fracture, with rotation of the capitate head either 90° or 180°.

Methods: We present a unique case of scaphocapitate syndrome in which the rotated proximal capitate fragment expelled into the carpal canal.

Results: The capitate head was extricated from the carpal tunnel via the volar approach, and was anatomically aligned and fixed through the dorsal approach using two 2. Read More

View Article
November 2018
1 Read

Conservative treatment of a pathologic fracture of the scaphoid bone in a child: A case report.

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

View Article
September 2018
12 Reads

Dual-energy contrast-enhanced CT to evaluate scaphoid osteonecrosis with surgical correlation.

J Med Imaging Radiat Oncol 2018 Sep 5. Epub 2018 Sep 5.

Department of Medical Imaging, St Vincent's Hospital, Melbourne, Victoria, Australia.

To evaluate the validity of contrast enhanced dual energy CT using a lung perfusion algorithm in assessing for post-traumatic scaphoid proximal pole avascular necrosis. From Aug 2013 to Aug 2016, 18 patients (19 wrists, 16 males, 2 females, mean age 28 years) were assessed as high-risk for proximal pole scaphoid avascular necrosis by a single surgeon following a scaphoid fracture and were referred for contrast-enhanced dual energy CT. 8 wrists had specimens sent for correlative histological analysis and 11 were correlated with operative notes. Read More

View Article
September 2018

Clinical and Radiologic Outcomes of the Matti-Russe Technique for Scaphoid Nonunions in Pediatric Patients.

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

View Article
September 2018
6 Reads

Screw Fixation Without Bone Grafting for Delayed Unions and Nonunions of Minimally Displaced Scaphoids.

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

View Article
August 2018
2 Reads

Comparison of volar versus dorsal screw fixation for scaphoid waist fractures: A finite element analysis.

Orthop Traumatol Surg Res 2018 Nov 1;104(7):1107-1113. Epub 2018 Sep 1.

Antalya Education and Research Hospital, Department of Orthopaedics and Traumatology, Antalya 07100, Turkey.

Purpose: Scaphoid waist fractures may be fixed through volar or dorsal screw fixation. However, there is no consensus on which surgical fixation method should be performed. The purpose of this study was to compare volar versus dorsal screw fixation of scaphoid waist fractures under physiological loading conditions utilizing finite element analysis. Read More

View Article
November 2018
2 Reads

Interobserver Variability of the Diagnosis of Scaphoid Proximal Pole Fractures.

J Wrist Surg 2018 Sep 10;7(4):350-354. Epub 2018 Apr 10.

Department of Comprehensive Care, Dell Medical School, The University of Texas at Austin, Austin, Texas.

 Fractures of the proximal pole of the scaphoid are prone to adverse outcomes such as nonunion and avascular necrosis. Distinction of scaphoid proximal pole fractures from waist fractures is important for management but it is unclear if the distinction is reliable.  A consecutive series of 29 scaphoid fractures from one tertiary hospital was collected consisting of 5 scaphoid proximal pole and 24 scaphoid waist fractures. Read More

View Article
September 2018
4 Reads

Micro Screw Fixation for Small Proximal Pole Scaphoid Fractures with Distal Radius Bone Graft.

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

View Article
September 2018
9 Reads

Simultaneous Fractures of the Ipsilateral Scaphoid and Distal Radius.

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

View Article
September 2018
2 Reads

Carpal Pronation and Supination Changes in the Unstable Wrist.

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

View Article
September 2018
2 Reads

The Impact of Insurance Status on the Development of Nonunion following Scaphoid Fracture.

J Wrist Surg 2018 Sep 4;7(4):288-291. Epub 2018 Apr 4.

Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.

 Certain factors have been associated with the development of scaphoid nonunion, including delayed diagnosis, smoking, inadequate initial management, proximal location, and carpal instability. We hypothesized that insurance status would also be a risk factor for the development of scaphoid nonunion.  A case-control study was performed on patients who presented to a single surgeon at a tertiary referral center during 2006 to 2015. Read More

View Article
September 2018
6 Reads

Retrospective Comparative Outcomes Analysis of Arthroscopic Versus Open Bone Graft and Fixation for Unstable Scaphoid Nonunions.

Arthroscopy 2018 Oct 30;34(10):2810-2818. Epub 2018 Aug 30.

Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. Electronic address:

Purpose: To compare union rates and clinical and radiologic outcomes after arthroscopic and open bone grafting and internal fixation for unstable scaphoid nonunions.

Methods: Between March 2009 and November 2014, patients with unstable scaphoid nonunion underwent arthroscopic (group A) or open (group O) bone grafting and internal fixation. One senior surgeon alternatively performed either arthroscopic or open osteosynthesis for the same surgical indications. Read More

View Article
October 2018