392 results match your criteria Wrist Scaphoid Fractures and Complications


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

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http://dx.doi.org/10.5455/medarh.2018.72.253-256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194931PMC
October 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

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http://Insights.ovid.com/crossref?an=00005792-201809070-0005
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http://dx.doi.org/10.1097/MD.0000000000012161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133437PMC
September 2018
20 Reads

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

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http://dx.doi.org/10.1177/1558944718797340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346370PMC
September 2018
11 Reads

Percutaneous treatment for waist and proximal pole scaphoid fractures.

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

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http://dx.doi.org/10.1016/j.rboe.2018.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5993880PMC
April 2018
15 Reads

[Manipulative reduction and plaster external fixation for the treatment of the scaphoid fracture and perilunate dislocation].

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

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.05.009DOI Listing
May 2018
14 Reads

Clinical and functional outcomes of vascularized bone graft in the treatment of scaphoid non-union.

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

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0197768PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963744PMC
November 2018
1 Read

Scaphoid Nonunions.

Bull Hosp Jt Dis (2013) 2018 Mar;76(1):27-32

Scaphoid nonunions are challenging injuries to manage and the optimal treatment algorithm continues to be debated. Most scaphoid fractures heal when appropriately treated; however, when nonunions occur, they require acute treatment to prevent future complications like scaphoid nonunion advanced collapse. Acute nonunion treatment technique depends on nonunion location, vascular status of the proximal pole, fracture malalignment, and pre-existing evidence of arthrosis. Read More

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March 2018
5 Reads

Hand and Wrist Injuries: Common Problems and Solutions.

Clin Sports Med 2018 Apr;37(2):217-243

Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA. Electronic address:

Injuries to the hands and wrist are common in athletes. Injuries include acute fractures, dislocations, ligamentous, and tendon injuries, as well as more chronic injuries such as sprains and strains. Complications in the treatment of sports injuries of the hand and wrist may be divided into 2 categories: incorrect or delayed diagnosis and iatrogenic injury related to treatment. Read More

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http://dx.doi.org/10.1016/j.csm.2017.12.004DOI Listing
April 2018
20 Reads

Perilunate fracture-dislocations: clinical and radiological results of 21 cases.

Arch Orthop Trauma Surg 2018 Feb 27;138(2):287-297. Epub 2017 Dec 27.

Department of Hand and Plastic Surgery, INSELSPITAL Bern and University of Bern, Freiburgstrasse, 8, 3010, Bern, Switzerland.

Background: Perilunate dislocations and fracture-dislocations are a subcategory of the carpal instability complex. Herein, we report our university hospital experience with this complex injury. The goal of our study was to find predictive factors and quantify the development of arthritis and lunate necrosis. Read More

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http://dx.doi.org/10.1007/s00402-017-2861-1DOI Listing
February 2018
7 Reads
1.310 Impact Factor

Scaphoid Fractures treated with a volar percutaneous approach. Analysis and results in 92 cases.

Rev Esp Cir Ortop Traumatol 2018 Mar - Apr;62(2):105-111. Epub 2017 Nov 28.

Unidad Mano y Codo, Hospital Universitario 12 de Octubre, Madrid, España; Universidad Complutense, Departamento de Cirugía, Madrid, España.

Objective: Herbert type B1 and B2 scaphoid fractures can be treated by orthopaedic treatment or surgery. The aim of this study is to analyse results and complications of scaphoid waist fractures treated using the percutaneous volar approach.

Material And Method: We present a retrospective study of 92 patients, treated in our institution from 2006 to 2016 using a volar percutaneous fixation. Read More

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http://dx.doi.org/10.1016/j.recot.2017.10.008DOI Listing
October 2018
5 Reads

Concomitant hook of hamate fractures in patients with scaphoid fracture: more common than you might think.

Skeletal Radiol 2018 Apr 16;47(4):505-510. Epub 2017 Nov 16.

Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.

Objective: The scaphoid is the most commonly fractured carpal bone. The presence of a concomitant hook of hamate fracture is of particular relevance given that it is often occult on routine wrist/scaphoid radiographs and that hook of hamate fractures are prone to symptomatic non-union, resulting in chronic ulnar wrist pain. Prompt diagnosis and immobilisation/fixation may minimise such complications. Read More

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http://dx.doi.org/10.1007/s00256-017-2814-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5814468PMC
April 2018
9 Reads

Clinical and Radiologic Outcomes After Scaphoid Fracture: Injury and Treatment Patterns in National Football League Combine Athletes Between 2009 and 2014.

Arthroscopy 2017 Dec;33(12):2154-2158

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.. Electronic address:

Purpose: To report on the clinical and radiologic outcomes and complications after surgical treatment in National Football League (NFL) Combine athletes with a history of a scaphoid fracture.

Methods: The medical records of 2,285 athletes participating in the NFL Combine from 2009 to 2015 were evaluated for a history of scaphoid, hand, or wrist injury. Clinical outcomes, including grip strength, pinch test, range of motion, and presence of pain and stiffness, were recorded. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.08.259DOI Listing
December 2017
22 Reads

Management Modalities and Outcomes Following Acute Scaphoid Fractures in Children: A Quantitative Review and Meta-Analysis.

Hand (N Y) 2017 Oct 1:1558944717735948. Epub 2017 Oct 1.

1 University of California, Irvine, USA.

Background: Early evaluation and appropriate management of pediatric scaphoid fractures are necessary to avoid complications. To date, current management of pediatric fractures varies among providers. The objective of this study was to compare clinical outcomes following different treatment modalities. Read More

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http://dx.doi.org/10.1177/1558944717735948DOI Listing
October 2017
4 Reads

Trans-Scaphoid Transcapitate Perilunate Fracture-Dislocation.

Am J Orthop (Belle Mead NJ) 2017 Jul/Aug;46(4):E230-E234

First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University General Hospital, Athens, Greece.

Trans-scaphoid transcapitate (TSTC) perilunate fracture-dislocation (PLFD) is a rare type of perilunate injury. Because of the rarity and complexity of this entity, initial diagnosis may be delayed and the extent of osseous and ligamentous lesions underestimated. Early surgical treatment by open reduction and fracture stabilization is recommended to avoid complications such as avascular necrosis, nonunion, posttraumatic arthritis, and functional impairment. Read More

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May 2018
7 Reads

Does a Comparison View Improve the Reliability of Staging Wrist Osteoarthritis?

Hand (N Y) 2017 09 10;12(5):439-445. Epub 2016 Nov 10.

4 The University of Texas at Austin, USA.

Background: Radiological grading of wrist osteoarthritis associated with scaphoid nonunion advanced collapse (SNAC) can be difficult. A comparison radiograph of the contralateral healthy wrist and an educational training in the various SNAC stages may improve reliability. Our purposes were to evaluate the difference in the reliability: (1) between observers who rate SNAC wrists with and without a comparison radiograph; and (2) between observers who receive training prior to ratings and those who do not. Read More

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http://dx.doi.org/10.1177/1558944716677541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684930PMC
September 2017
7 Reads

Percutaneous, Transtrapezial Fixation without Bone Graft Leads to Consolidation in Selected Cases of Delayed Union of the Scaphoid Waist.

J Wrist Surg 2017 Aug 28;6(3):183-187. Epub 2016 Dec 28.

Department of Orthopedic Surgery, Monica Hospital, Antwerp, Belgium.

 We evaluated clinical and radiographic outcome of percutaneous transtrapezial fixation of the scaphoid delayed union or nonunion using a headless bone screw without bone grafting.  Sixteen patients with delayed union or nonunion of the scaphoid were included in this retrospective study between 2006 and 2011. All patients had a delayed presentation of scaphoid fracture, and none of them was treated conservatively elsewhere. Read More

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http://dx.doi.org/10.1055/s-0036-1597681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5515604PMC
August 2017
22 Reads

Neonatal vitamin D status from archived dried blood spots and future risk of fractures in childhood: results from the D-tect study, a population-based case-cohort study.

Am J Clin Nutr 2017 Jul 17;106(1):155-161. Epub 2017 May 17.

Department of Clinical Research, University of Southern Denmark, Odense Patient Data Explorative Network, Odense University Hospital, Odense, Denmark.

Whether antenatal and neonatal vitamin D status have clinical relevance in fracture prevention has not been examined extensively, although observational studies indicate that fetal life may be a sensitive period in relation to bone growth and mineralization during childhood. We examined whether 25-hydroxyvitamin D [25(OH)D] concentrations in stored neonatal dried blood spot (DBS) samples are associated with pediatric fracture risk. We hypothesized that in particular, low neonatal vitamin D status may be a risk factor for fracture incidence among children. Read More

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http://dx.doi.org/10.3945/ajcn.116.145599DOI Listing
July 2017
21 Reads

Percutaneous Screw Fixation for Scaphoid Fractures.

Orthopedics 2017 Jul 15;40(4):e729-e734. Epub 2017 May 15.

Treatment of nondisplaced scaphoid waist fractures has evolved from conventional cast immobilization to percutaneous screw insertion. This study assessed clinical and radiologic outcomes of volar percutaneous screw fixation for 15 type B2 scaphoid fractures (according to the Herbert and Fisher classification). All patients were followed for an average of 33 months (range, 6-50 months). Read More

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http://dx.doi.org/10.3928/01477447-20170509-04DOI Listing
July 2017
19 Reads

Scaphoid Nonunion With Poor Prognostic Factors: The Role of the Free Medial Femoral Condyle Vascularized Bone Graft.

Hand (N Y) 2017 03 20;12(2):135-139. Epub 2016 Aug 20.

University Hospital Birmingham, UK.

To report on the results of free medial femoral condyle (MFC) vascularized bone graft for scaphoid nonunions with 1 or more poor prognostic factors. We have used the free MFC vascularized bone graft for scaphoid nonunions that have 1 or more factors associated with a poor prognosis. These were, a delay in presentation of over 5 years, a proximal pole nonunion, the presence of avascular necrosis (AVN), or previous nonunion surgery. Read More

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http://dx.doi.org/10.1177/1558944716661994DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349415PMC
March 2017
4 Reads

Vascularized Bone Grafting in Scaphoid Nonunion: A Review of Patient-Centered Outcomes.

Hand (N Y) 2017 03 7;12(2):127-134. Epub 2016 Jul 7.

University of Southern California, Los Angeles, USA.

The radiographic and clinical outcomes following vascularized bone grafting (VBG) for scaphoid nonunion have previously been reported in the literature; however, few studies report on patient-derived outcomes. The purpose of this study was to determine the effect of VBG for scaphoid nonunion on patient-derived outcomes. The MEDLINE and PubMed databases were queried for the use of VBG in scaphoid nonunion. Read More

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http://dx.doi.org/10.1177/1558944716643080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349405PMC
March 2017
10 Reads

[First results with a resorbable MgYREZr compression screw in unstable scaphoid fractures show extensive bone cysts].

Handchir Mikrochir Plast Chir 2017 Feb 8;49(1):37-41. Epub 2017 Mar 8.

Unfallchirurgische Klinik, Medizinische Hochschule Hannover.

Osteosynthesis with headless compression screws is an established treatment option for unstable scaphoid fractures. Common implants are made of titanium alloy or steel and usually remain in place. Due to implant density and ferromagnetic properties, artefacts are common in postoperative imaging procedures, e. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121416
Publisher Site
http://dx.doi.org/10.1055/s-0042-121416DOI Listing
February 2017
5 Reads

Early active motion protocol following open reduction internal fixation of the scaphoid: A pilot study.

Hand Surg Rehabil 2017 02 28;36(1):30-35. Epub 2016 Dec 28.

William Beaumont Army Medical Center, 5005, N Piedras St, El Paso, TX 79920, USA.

Scaphoid fractures are common injuries which traditionally have been treated with long periods of immobilization even after open reduction and internal fixation (ORIF). The purpose of this pilot investigation was two-fold: 1) describe a precise postoperative Early Active Motion (EAM) rehabilitation protocol following ORIF of scaphoid fractures and 2) record the outcomes of the EAM protocol. Eight consecutive patients having undergone ORIF of the scaphoid were enrolled in the EAM and followed for a minimum of 1 year. Read More

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http://dx.doi.org/10.1016/j.hansur.2016.11.004DOI Listing
February 2017
8 Reads

Upper Extremity Injuries in Gymnasts.

Hand Clin 2017 02;33(1):187-197

Department of Orthopaedic Surgery and Rehabilitation, University of Chicago Hospitals, 5841 South Maryland Avenue, MC 3079, Chicago, IL 60637, USA. Electronic address:

Gymnastics is a unique sport, which loads the wrist and arms as weight-bearing extremities. Because of the load demands on the wrist in particular, stress fractures, physeal injury, and overuse syndromes may be observed. This spectrum of injury has been termed "gymnast's wrist," and incorporates such disorders as wrist capsulitis, ligamentous tears, triangular fibrocartilage complex tears, chondromalacia of the carpus, stress fractures, distal radius physeal arrest, and grip lock injury. Read More

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http://dx.doi.org/10.1016/j.hcl.2016.08.010DOI Listing
February 2017
7 Reads

Four-corner arthrodesis employing the native scaphoid as the principal donor graft for advanced collapse deformity of the wrist: technique and outcomes.

J Hand Surg Eur Vol 2017 Mar 1;42(3):246-252. Epub 2016 Nov 1.

Department of Orthopaedic Surgery, Mount Sinai Beth Israel Hand Center, Mount Sinai Health System, New York, NY, USA.

The purpose of this study was to determine the functional, radiographic, and subjective outcome of the authors' technique of four-corner arthrodesis using the en bloc excised scaphoid as the principal donor bone graft coupled with Kirschner wire fixation. The study comprised 40 consecutive patients with progressive Stage II and III scapholunate advanced collapse or scaphoid nonunion advanced collapse deformities. Preoperative and postoperative range of motion, grip strength, carpal height, and Michigan Hand Outcomes Questionnaire responses were assessed with a mean follow-up of 4. Read More

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http://dx.doi.org/10.1177/1753193416676663DOI Listing
March 2017
1 Read

Management of scaphoid nonunions with vascularized bone grafts from the distal radius: mid- to long-term follow-up.

Eur J Orthop Surg Traumatol 2017 Jan 26;27(1):33-39. Epub 2016 Oct 26.

Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, University of Thessaly, 3 Panepistimiou Street, Biopolis, 41500, Larissa, Greece.

Scaphoid nonunion represents a challenging problem that leads to disability if neglected. Vascularized bone grafts are proposed to augment the local biology and increase the likelihood of union but long-term outcomes are sparse. In this work, we present the mid- to long-term outcome of 140 scaphoid nonunions managed with vascularized bone grafts from the distal radius. Read More

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http://dx.doi.org/10.1007/s00590-016-1867-7DOI Listing
January 2017
5 Reads

[Diagnosis of the scaphoid bone : Fractures, nonunion, circulation, perfusion].

Orthopade 2016 Nov;45(11):938-944

Klinik für Hand-, Replantations- und Mikrochirurgie, Unfallkrankenhaus Berlin, Berlin, Deutschland.

The clinical relevance of scaphoid bone fractures is reflected by their high incidence, accounting for approximately 60 % among carpal fractures and for 2-3 % of all fractures. With adequate therapy most scaphoid bone fractures heal completely without complications. Insufficient immobilization or undiagnosed fractures increase the risk of nonunion and the development of pseudarthrosis. Read More

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http://dx.doi.org/10.1007/s00132-016-3333-yDOI Listing
November 2016
2 Reads

[Pedicled vascularized bone graft for scaphoid reconstruction after Zaidemberg].

Orthopade 2016 Nov;45(11):974-984

Hand-, Replantations- und Mikrochirurgie, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Deutschland.

Background: Nonunion of the scaphoid as a result of proximal fractures, failed surgical reconstruction, and especially avascular fragment necrosis are possible indications of vascularized bone grafts. Various techniques of vascularized (pedicled and free) grafts have been described. Pedicled grafts from the direct vicinity of the wrist provide several benefits. Read More

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http://dx.doi.org/10.1007/s00132-016-3335-9DOI Listing
November 2016
1 Read

[CLINICAL RESEARCH OF INDIVIDUAL PERCUTANEOUS CANNULATED SCREWS FIXATION FOR TREATMENT OF Herbert TYPE Ib SCAPHOID FRACTURE].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Oct;30(10):1189-1194

Department of Orthopedics, the Fourth People's Hospital of Zigong, Zigong Sichuan, 643000, P. R. China.

Objective: To investigate the effectiveness of individual percutaneous cannulated screws fixation of computer-assisted design combined with three-dimensional (3D) guide plate by comparing with cast immobilization and open internal fixation for treatment of Herbert type Ib scaphoid fracture.

Methods: Between January 2010 and June 2015, 56 patients with fresh Herbert type Ib scaphoid fracture were treated with cast immobilization in 16 cases (external fixation group), with open reduction and internal fixation in 20 cases (open reduction group), and with individual percutaneous cannulated screws fixation of computer-assisted design combined 3D guide plate in 20 cases (minimal invasion group). There was no significant difference in gender, age, injury cause, side, disease duration, and classification of fractures between groups >0. Read More

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http://dx.doi.org/10.7507/1002-1892.20160244DOI Listing
October 2016

Scaphoid nonunion with carpal ligament injury - radiological, arthroscopical assessment and clinical results.

Acta Orthop Belg 2016 Aug;82(2):210-215

The purpose of this study was to review the clinical results of carpal ligaments injuries with scaphoid nonunion. We hypothesized that scaphoid nonunion with carpal ligament injury is associated with clinical result. We retrospectively reviewed 60 cases of -Herbert screw fixation with bone graft for scaphoid nonunions. Read More

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August 2016
5 Reads

Comparison of Dorsal and Volar Percutaneous Approaches in Acute Scaphoid Fractures: A Meta-Analysis.

PLoS One 2016 9;11(9):e0162779. Epub 2016 Sep 9.

Department of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, Korea.

The dorsal approach allows better central screw placement along the long axis of the scaphoid compared with the volar approach in managing acute scaphoid fractures. However, it is unclear whether the dorsal approach leads to better clinical outcomes than the volar approach. This meta-analysis compared clinical outcomes, including the incidence of nonunion, postoperative complications, overall functional outcome, postoperative pain, grip strength, and range of wrist motion, between the dorsal and volar percutaneous approaches for the management of acute scaphoid fractures. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0162779PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017637PMC
August 2017
8 Reads

Treatment of scaphoid fractures using a memory alloy nail-feet-fixation device.

ANZ J Surg 2016 Jul 21;86(7-8):584-8. Epub 2016 Jun 21.

Department of Orthopedic Surgery, Kunming General Hospital of Chengdu Military Region, Kunming, China.

Background: Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail-feet-fixation (MANFF) device in treating scaphoid fractures.

Methods: Sixty-six patients with closed scaphoid fractures were treated using the MANFF device between August 2011 and November 2013. Read More

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http://dx.doi.org/10.1111/ans.13641DOI Listing
July 2016
14 Reads

Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature.

J Orthop Case Rep 2015 Jul-Sep;5(3):29-31

Department of Orthopaedics, Hi-Tech Medical College &Hospital, Bhubaneswar.

Introduction: Isolated trapezium fractures accounts for 3-5% of all carpal fractures, are often missed on initial presentation. Trapezial fractures should be treated early given its importance in grip and pinch. We report a rare isolated coronal fracture of trapezium, following fall on an outstretched hand. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719393PMC
June 2016
2 Reads
1 Citation

Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT) protocol: a pragmatic multi-centre randomised controlled trial of cast treatment versus surgical fixation for the treatment of bi-cortical, minimally displaced fractures of the scaphoid waist in adults.

BMC Musculoskelet Disord 2016 06 4;17:248. Epub 2016 Jun 4.

York Trials Unit and NIHR RDS YH, Department of Health Sciences, Faculty of Science, University of York, ARRC Building, Heslington, York, YO10 5DD, UK.

Background: A scaphoid fracture is the most common type of carpal fracture affecting young active people. The optimal management of this fracture is uncertain. When treated with a cast, 88 to 90 % of these fractures unite; however, for the remaining 10-12 % the non-union almost invariably leads to arthritis. Read More

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http://dx.doi.org/10.1186/s12891-016-1107-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893284PMC
June 2016
36 Reads

A rare complication of scaphoid nonunion: Multiple flexor tendon lesions. A case report and review of literature.

Hand Surg Rehabil 2016 04 26;35(2):135-8. Epub 2016 Feb 26.

Clinique Jouvenet, institut de la main, 6, square Jouvenet, 75016 Paris, France.

This case report describes a patient who presented with a complete rupture of the flexor pollicis longus (FPL) tendon and partial rupture of the flexor digitorum profundus of the index finger, secondary to scaphoid nonunion. This is a rare, late complication that deserves to be described because of the potential diagnostic confusion with anterior interosseous nerve palsy. No case has been reported since 1999 in the literature. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681229160002
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http://dx.doi.org/10.1016/j.hansur.2016.02.001DOI Listing
April 2016
3 Reads

Peri-lunate dislocation and fracture-dislocation of the wrist: Retrospective evaluation of 65 cases.

Orthop Traumatol Surg Res 2016 05 17;102(3):351-5. Epub 2016 Feb 17.

Département d'Orthopédie et Traumatologie-Urgences Mains, Hôpital Pierre-Paul Riquet, Hôpital Universitaire de Toulouse, place du Dr-Baylac, 31059 Toulouse cedex, France. Electronic address:

Introduction: Peri-lunate wrist dislocations and fracture-dislocations are related to high-energy trauma. Prognosis is often compromised because of the complexity of the lesions. The purpose of this study was to assess outcomes of acute peri-lunate injuries and correlate them with the type of lesion and management. Read More

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http://dx.doi.org/10.1016/j.otsr.2016.01.004DOI Listing
May 2016
7 Reads

Scaphoid non-union in osteogenesis imperfecta.

BMJ Case Rep 2016 Jan 11;2016. Epub 2016 Jan 11.

Ipswich Hospital, Ipswich, UK.

We report a case of scaphoid non-union in a child with osteogenesis imperfecta (OI) presenting 7 months after a fall. Following diagnosis, conservative treatment was initiated, but despite 4 months in a plaster cast, the fracture had failed to unite. Open reduction and internal fixation was performed (Acutrak screw) with bone graft harvested from the distal radius. Read More

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http://dx.doi.org/10.1136/bcr-2015-212419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4716317PMC
January 2016
4 Reads

Retrospective study of two fixation methods for 4-corner fusion: Shape-memory staple vs. dorsal circular plate.

Chir Main 2015 Dec;34(6):300-6

Clinique Jeanne-d'Arc, Nantes assistance main, 21, rue des Martyrs, 44000 Nantes, France.

The purpose of this study was to compare the results of two groups of patients with four-corner fusion, one group fixed with shape-memory staples and the other with locked circular plates. This retrospective study compared 52 wrists operated for scaphoid excision and four-corner fusion between 2005 and 2011. The arthrodesis was ensured by a shape-memory quadripodal staple (4Fusion(®), Memometal™) in 37 cases and a locking dorsal circular plate (Xpode(®), Biotech Ortho™) in 15 cases. Read More

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http://dx.doi.org/10.1016/j.main.2015.08.008DOI Listing
December 2015
2 Reads

[Diagnostically Approach to Pediatric Carpal Fractures: a Retrospective Analysis].

Z Orthop Unfall 2016 Feb 15;154(1):43-9. Epub 2015 Oct 15.

Orthopädie und Unfallchirurgie, Ruhr-Universität Bochum.

Introduction: Carpal fractures in children are rare, but can be missed, as their clinical symptoms are unspecific and discrete. Even X-ray diagnosis is difficult. Timely diagnosis and consistent therapy are especially important for scaphoid fractures, as they can help to avoid complications such as non-union or avascular necrosis. Read More

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http://dx.doi.org/10.1055/s-0035-1558078DOI Listing
February 2016
23 Reads

Preface.

Authors:
Asif M Ilyas

Orthop Clin North Am 2015 Oct 4;46(4):xxi. Epub 2015 Aug 4.

Hand & Upper Extremity Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ocl.2015.07.005DOI Listing
October 2015
3 Reads

Hybrid Russe Procedure for Scaphoid Waist Fracture Nonunion With Deformity.

J Hand Surg Am 2015 Nov 9;40(11):2198-205. Epub 2015 Sep 9.

Department of Orthopaedic Surgery, Weill Medical College of Cornell University, Hospital for Special Surgery, New York, NY.

Purpose: To assess the results of a hybrid Russe procedure using a corticocancellous strut, cancellous autologous nonvascularized bone graft, and cannulated headless compression screw to reduce the deformity reliably from a collapsed scaphoid nonunion, provide osteoinductive stimulus, and stabilize the fracture for predictable union.

Methods: A hybrid Russe procedure was performed for scaphoid waist fracture nonunions with humpback deformity and no evidence of avascular necrosis. A volar distal radius autologous bone graft was harvested and a strut of cortical bone was fashioned and placed into the nonunion site to restore length and alignment. Read More

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http://dx.doi.org/10.1016/j.jhsa.2015.07.028DOI Listing
November 2015
11 Reads
1.660 Impact Factor

Scaphocapitate Fracture: Two Cases with Follow-Up over 5 Years.

J Wrist Surg 2015 Aug;4(3):174-8

Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, University of Thessalia, Larissa, Greece.

Background Combined scaphoid and capitate fractures of the wrist are rare entities, and delayed diagnosis is frequent. Scaphocapitate fractures may be associated with reversal of the capitate head 90° or 180° (Fenton syndrome). Different treatment options have been proposed, with variable results. Read More

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http://dx.doi.org/10.1055/s-0035-1549290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530178PMC
August 2015
9 Reads

The Accuracy of Pain Measurement in Diagnosis of Scaphoid Bone Fractures in Patients with Magnetic Resonance Imaging: Report of 175 Cases.

Med Arch 2015 Jun 10;69(3):161-4. Epub 2015 Jun 10.

Department of Emergency Medicine, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: Scaphoid fracture is the most common fracture among the bones of the wrist. Plain radiography has a sensitivity of 59 to 79 percent for the diagnosis of scaphoid fracture after injury. Casting is done to avoid complications in patients with suspected fractures with normal radiography. Read More

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http://dx.doi.org/10.5455/medarh.2015.69.161-164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500294PMC
June 2015
11 Reads

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Clin Orthop Relat Res 2016 Jan 7;474(1):204-12. Epub 2015 Aug 7.

Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50 Yonseiro, Seodaemun-gu, Seoul, 120-752, South Korea.

Background: Arthroscopic management of scaphoid nonunions has been advanced as a less invasive technique that allows evaluation of associated intrinsic and extrinsic ligamentous injuries; however, few studies have documented the effectiveness of arthroscopic treatment of scaphoid nonunions and which intraarticular pathologies coexist with scaphoid nonunions.

Questions/purposes: (1) What are the outcomes of arthroscopic management of scaphoid nonunions as assessed by the proportion of patients achieving osseous union, visual analog scale (VAS) pain score, grip strength, range of motion, Mayo Wrist Score (MWS), and Disabilities of the Arm, Shoulder and Hand (DASH) score? (2) What complications are associated with arthroscopic scaphoid nonunion management? (3) What forms of intraarticular pathology are associated with scaphoid nonunions?

Methods: Between 2008 and 2012, we treated 80 patients surgically for scaphoid nonunions. Of those, 45 (56%) had arthroscopic management. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs11999-015-44
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http://link.springer.com/10.1007/s11999-015-4495-3
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http://dx.doi.org/10.1007/s11999-015-4495-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686522PMC
January 2016
8 Reads

MR Imaging of Carpal Fractures.

Magn Reson Imaging Clin N Am 2015 Aug 13;23(3):405-16. Epub 2015 May 13.

Division of Musculoskeletal Radiology, Department of Radiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Timely diagnosis of carpal fractures is important for optimal treatment outcome. Magnetic resonance (MR) imaging performed early in the workup can provide an accurate and specific diagnosis, as well as uncover developing complications. In the absence of carpal fractures, MR imaging can provide alternative diagnoses such as other unsuspected fractures involving the distal radius/ulna or hand, osseous contusions, and soft-tissue injuries to various ligaments about the wrist. Read More

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http://dx.doi.org/10.1016/j.mric.2015.04.006DOI Listing
August 2015
1 Read

[Application of bone flap pedicled on retrograde branch of radial artery for treatment of old scaphoid bone fractures of type AO-B].

Authors:
Qing-peng Sun

Zhongguo Gu Shang 2015 May;28(5):426-8

Objective: To investigate application of the bone flap pedicled on the retrograde branch of radial artery for treatment of old scaphoid bone fractures of type AO-B.

Methods: From October 2007 to October 2011,41 patients with old scaphoid bone fractures of type AO-B were treated by transplantation of the bone flap pedicled on the retrograde branch of radial artery including 26 males and 15 females with an average of (27.3±4. Read More

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May 2015
2 Reads

Examination and treatment of scaphoid fractures and pseudarthrosis.

Tidsskr Nor Laegeforen 2015 Jun 30;135(12-13):1138-42. Epub 2015 Jun 30.

Seksjon for overekstremitets- og mikrokirurgi Ortopedisk avdeling Oslo universitetssykehus, Rikshospitalet.

Background: About 2,000 patients annually incur a fractured scaphoid in Norway. Assessment and diagnosis can be difficult, and fractures are overlooked. Scaphoid fractures have traditionally been cast-immobilised, but for the last decade screw fixing has been used increasingly, and offers hope of a higher healing frequency and improved function. Read More

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http://dx.doi.org/10.4045/tidsskr.14.1256DOI Listing
June 2015
16 Reads

Treatment of Scaphoid Nonunion: A Systematic Review of the Existing Evidence.

J Hand Surg Am 2015 Sep 24;40(9):1797-1805.e3. Epub 2015 Jun 24.

The Birmingham Hand Centre, Royal Orthopaedic Hospital, Northfield, Birmingham, United Kingdom.

Purpose: To determine by systematic review the optimal treatment of scaphoid nonunion.

Methods: We conducted a systematic review of the literature with a meta-analysis of proportions to investigate the comparative effectiveness of different surgical techniques.

Results: A total of 48 publications (1,602 patients) met the eligibility criteria. Read More

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http://dx.doi.org/10.1016/j.jhsa.2015.05.003DOI Listing
September 2015
2 Reads

Treatment of Proximal Scaphoid Non-union by Resection of the Proximal Pole and Palmaris Longus Interposition Arthroplasty.

Handchir Mikrochir Plast Chir 2015 Jun 17;47(3):171-4. Epub 2015 Jun 17.

Department of Orthopaedic Surgery, University Federico II, Napoli, Italy.

Background: The purpose of this study was to determine the long-term clinical and radiographic outcome in a group of patients treated with resection of the proximal pole and tendon ball arthroplasty because of a scaphoid non-union.

Patients And Methods: 15 patients affected by scaphoid non-union and treated with resection arthroplasty were studied at a mean follow-up of 9.1 years. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1548847
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http://dx.doi.org/10.1055/s-0035-1548847DOI Listing
June 2015
3 Reads

Trans-Scaphoid Perilunate Dislocation: Union of an Extruded Scaphoid Proximal Pole Fragment.

Hand Surg 2015 ;20(2):313-5

† Department of Hand Surgery, Orthopaedics and Trauma, Norfolk and Norwich University Hospital, Norwich, United Kingdom.

We present an unusual case of a closed perilunate dorsal-dislocation of the carpus, with an associated scaphoid fracture. In this extreme case, the proximal scaphoid pole was extruded volarly and proximally. After closed manipulation, the proximal pole of the scaphoid was further dislocated dorsally, a phenomenon not previously described in the literature. Read More

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http://dx.doi.org/10.1142/S0218810415720120DOI Listing
July 2016
3 Reads

Management of complications of wrist fractures.

Hand Clin 2015 May 28;31(2):193-203. Epub 2015 Feb 28.

OrthoCarolina, 1915 Randolph Road, Charlotte, NC 28207, USA.

This article reviews the most common complications associated with the management of carpal fractures. Discussion focuses on the recognition of commonly "missed" fractures and fracture patterns and the negative sequelae that can result from these delayed diagnoses. The pitfalls of conservative treatment of specific carpal fractures are reviewed, and the most common complications resulting from the operative management of carpal injuries are described. Read More

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http://dx.doi.org/10.1016/j.hcl.2015.01.001DOI Listing
May 2015
3 Reads