413 results match your criteria Wrist Scaphoid Fractures and Complications


Pediatric Scaphoid Nonunions: A Case Series, Review of the Literature, and Evidence-Based Guidelines.

J Wrist Surg 2020 Feb 20;9(1):2-12. Epub 2019 Dec 20.

Pulvertaft Hand Centre, Kings Treatment Centre, Royal Derby Hospital, Derby, United Kingdom.

 Scaphoid fractures represent less than 3% of hand and wrist fractures in the pediatric population. Nonunions are very rare. We present a case series (  = 18) of nonunions in skeletally immature children and adolescents. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-3401035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000270PMC
February 2020

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

Injury 2019 Dec 28. Epub 2019 Dec 28.

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

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

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

View Article

Download full-text PDF

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

Scaphoid Reconstruction.

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

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

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

View Article

Download full-text PDF

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

Arthroscopic treatment of scaphoid nonunion with humpback deformity and DISI with corticocancellous bone grafting: Technical note.

Hand Surg Rehabil 2019 10 5;38(5):280-285. Epub 2019 Aug 5.

Department of Orthopedics, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

For two decades, scaphoid nonunion has been treated arthroscopically. However, compressed cancellous bone graft does not have the same mechanical properties as corticocancellous bone graft for reducing the scaphoid humpback deformity and DISI tilt. Here, we describe an arthroscopic technique to treat Alnot stage IIB scaphoid nonunion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hansur.2019.07.007DOI Listing
October 2019
3 Reads

Scaphoid Fracture Repair Does Not Significantly Diminish Short-Term Participation in the National Football League.

HSS J 2019 Jul 5;15(2):137-142. Epub 2018 Nov 5.

1University Hospitals Sports Medicine Institute, Cleveland, OH USA.

Background: Fixation of scaphoid fractures is recommended in elite athletes to hasten healing and return-to-sport times. Complications such as nonunion negatively affect athletic performance.

Questions/purposes: The purpose of this study was to examine the prevalence and impact of scaphoid repair on National Football League (NFL) participation during athletes' first season in the NFL, while identifying significant predictors for development of carpal arthritis and scaphoid nonunion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11420-018-9640-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609658PMC
July 2019
7 Reads

[Acute scaphoid fractures].

Authors:
Jonny Andersson

Lakartidningen 2019 Jun 17;116. Epub 2019 Jun 17.

SportsMed, Carlanderska Sjukhuset, Göteborg - Göteborg, Sweden - SportsMed, Carlanderska Sjukhuset, Göteborg Gothenburg, Sweden.

Early diagnosis and correct treatment of acute scaphoid fractures is mandatory and of great importance in terms of the long-term prognosis for these young patients. Missed acute scaphoid fractures tend to lead to pronounced symptoms later on. A SNAC wrist, with the gradual progression of degenerative osteoarthritis is most often debilitating, with pain, limited and restricted range of motion, and loss of strength. Read More

View Article

Download full-text PDF

Source
June 2019
3 Reads

Imaging for Acute and Chronic Scaphoid Fractures.

Hand Clin 2019 08 11;35(3):241-257. Epub 2019 May 11.

Department of Radiology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.

The scaphoid is the most commonly fractured bone in the wrist but 20% to 40% of scaphoid fractures are radiographically occult. Delayed or misdiagnosis can have significant consequences with late complications such as nonunion, malunion, or the development of avascular necrosis in the proximal pole. After initial negative radiographs, advanced cross-sectional imaging, including CT and MRI, ultimately may provide more accurate and rapid diagnosis than conventional radiography. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hcl.2019.03.001DOI Listing
August 2019
8 Reads

[Extracorporeal Shockwave Therapy for the treatment of scaphoid delayed union and nonunion: a retrospective analysis examining the rate of consolidation and further outcome variables].

Handchir Mikrochir Plast Chir 2019 Jun 5;51(3):164-170. Epub 2019 Jun 5.

Unfallkrankenhaus Salzburg Unfallchirurgie und Orthopädie.

Background: Operative procedures are considered gold standard in the treatment of scaphoid nonunion, albeit their considerable complexity and the risk of intraoperative complications. High energy extracorporeal shockwave therapy (ESWT) offers a non-invasive treatment option for scaphoid nonunion. The aim of this study was to explore the rate of bony consolidation and further outcome variables in patients with delayed union of scaphoid fractures and scaphoid nonunion treated with ESWT. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0914-2963
Publisher Site
http://dx.doi.org/10.1055/a-0914-2963DOI Listing
June 2019
5 Reads

Robot-assisted percutaneous scaphoid fracture fixation: a report of ten patients.

J Hand Surg Eur Vol 2019 Sep 16;44(7):685-691. Epub 2019 May 16.

4 Department of Spine Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.

This study reports the technique, efficacy and safety of robotic-assisted, computer-navigated, percutaneous fixation of scaphoid fractures. Ten males with acute undisplaced waist fractures underwent fixation with this method using a commercially available three-dimensional fluoroscopy unit and robotic navigation system. The mean total operative duration was 40 minutes, which comprised of a set-up time of 18 minutes and planning and surgical time of 22 minutes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193419848595DOI Listing
September 2019
7 Reads

Bilateral Scaphocapitate Fracture Syndrome: A Case Report with Long-Term Follow up.

J Hand Surg Asian Pac Vol 2019 Jun;24(2):243-246

1 Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

Carpal bone fracture-dislocation is an uncommon wrist injury. Regarding limited prevalence of such injury, most of orthopedic surgeons have low experience in treatment and handling of these fractures and dislocations. A 25-year-old male worker with an uncommon carpal bone fracture-dislocation, namely bilateral scaphocapitate fracture syndrome, was described. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1142/S2424835519720135DOI Listing
June 2019
7 Reads

Proximal Row Carpectomy versus Four-Corner Arthrodesis for the Treatment of Scapholunate Advanced Collapse/Scaphoid Nonunion Advanced Collapse Wrist: A Cost-Utility Analysis.

Plast Reconstr Surg 2019 05;143(5):1432-1445

New York, N.Y.; Saint Petersburg, Fla.; and Philadelphia, Pa. From the Hansjörg Wyss Department of Plastic Surgery and the Department of Orthopedic Surgery, New York University School of Medicine; All Florida Orthopedics; and the Department of Orthopaedic Surgery, University of Pennsylvania Health System.

Background: Two mainstay surgical options for salvage in scapholunate advanced collapse and scaphoid nonunion advanced collapse are proximal row carpectomy and four-corner arthrodesis. This study evaluates the cost-utility of proximal row carpectomy versus three methods of four-corner arthrodesis for the treatment of scapholunate advanced collapse/scaphoid nonunion advanced collapse wrist.

Methods: A cost-utility analysis was performed in accordance with the Second Panel on Cost-Effectiveness in Health and Medicine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000005558DOI Listing
May 2019
6 Reads

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):109-125. Epub 2019 Mar 29.

Weill Cornell Medical College, New York, New York.

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677699DOI Listing
April 2019
8 Reads

Volar Approach to Percutaneous Fixation of Acute Nondisplaced Fractures of the Scaphoid.

Tech Hand Up Extrem Surg 2019 Mar;23(1):6-9

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

Scaphoid fractures typically occur in young, healthy males at the peak of their employment and productivity, and left untreated or inadequately treated will ultimately progress to nonunion and a "predictable" pattern of wrist arthritis and carpal collapse. Nonoperative treatment of these fractures requires prolonged cast immobilization, which can lead to wrist stiffness, loss of grip strength, muscle atrophy, and protracted loss of economic productivity. To prevent these devastating sequelae, percutaneous techniques for scaphoid fixation have been described and popularized; however, these techniques are technically demanding as optimal position of the compression screw is required to achieve bony union. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BTH.0000000000000213DOI Listing
March 2019
11 Reads

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

Download full-text PDF

Source
http://dx.doi.org/10.5455/medarh.2018.72.253-256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194931PMC
October 2018
29 Reads

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

Eur J Orthop Surg Traumatol 2019 Feb 24;29(2):337-342. 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

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00590-018-2329-1DOI Listing
February 2019
9 Reads

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

Download full-text PDF

Source
December 2017
20 Reads

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

J Hand Surg Am 2019 Jun 18;44(6):521.e1-521.e11. 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).

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

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S03635023173212
Publisher Site
http://dx.doi.org/10.1016/j.jhsa.2018.08.019DOI Listing
June 2019
56 Reads

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

Download full-text PDF

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

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

Hand (N Y) 2019 Jan 5;14(1):73-79. 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

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944718797340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346370PMC
January 2019
39 Reads

Free Vascularized Medial Femoral Condyle Bone Graft After Failed Scaphoid Nonunion Surgery.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.17.00955DOI Listing
August 2018
6 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rboe.2018.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5993880PMC
April 2018
45 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3969/j.issn.1003-0034.2018.05.009DOI Listing
May 2018
19 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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
March 2018
14 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

View Article

Download full-text PDF

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

Effectiveness of an Arthroscopic Technique to Correct Supination Losses of 90° or More.

J Hand Surg Am 2018 07 6;43(7):676.e1-676.e6. Epub 2018 Mar 6.

Private Practice, Madrid, Spain.

Purpose: To present a new arthroscopic method for treating supination losses.

Methods: Six patients (15-71 y) were eligible for this study. All had a history of trauma to the wrist more than 6 months previously. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S03635023173110
Publisher Site
http://dx.doi.org/10.1016/j.jhsa.2018.01.006DOI Listing
July 2018
13 Reads

Volar Plate Fixation to Treat Scaphoid Nonunion: A Case Series With Minimum 3 Years of Follow-Up.

J Hand Surg Am 2018 06 19;43(6):569.e1-569.e8. Epub 2018 Jan 19.

Hand Surgery Unit, Orthopaedic Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain; Hand Surgery and Microsurgery Unit, Hospital Universitari Quiron-Dexeus, ICATME, Barcelona, Spain.

Purpose: Several options exist for treating scaphoid nonunion. For selected cases, some authors recommend using a volar buttress plate. The aim of the study was to report the clinical and radiological outcomes achieved at a minimum of 3 years' follow-up of treating scaphoid nonunion with a scaphoid volar plate. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S03635023173025
Publisher Site
http://dx.doi.org/10.1016/j.jhsa.2017.12.004DOI Listing
June 2018
11 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-017-2861-1DOI Listing
February 2018
26 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.recot.2017.10.008DOI Listing
October 2018
7 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

View Article

Download full-text PDF

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

Lunate fractures and associated radiocarpal and midcarpal instabilities: a systematic review.

J Hand Surg Eur Vol 2018 Jan 13;43(1):84-92. Epub 2017 Nov 13.

1 Flinders University, Adelaide, Australia.

The aim of this study was to analyse lunate fractures and any associated osseo-ligamentous injuries. A systematic review identified 34 cases. We identified carpal instabilities at the radiocarpal and midcarpal joints in volar and dorsal directions. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/1753193417740850
Publisher Site
http://dx.doi.org/10.1177/1753193417740850DOI Listing
January 2018
10 Reads

Radial styloidectomy for scaphoid nonunion advanced collapse - relevance of nonunion location.

J Hand Surg Eur Vol 2018 Jan 6;43(1):80-83. Epub 2017 Nov 6.

3 Department of Orthopedic Surgery, Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY, USA.

Radial styloidectomy along with scaphoid nonunion reconstructive surgery is considered an acceptable surgical treatment for stage 1 scaphoid nonunion advanced collapse. The extent of radioscaphoid joint wear that defines scaphoid nonunion advanced collapse stage 1 is unclear. An appropriate radial styloidectomy is limited to 6 mm styloid removal to prevent carpal instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193417739519DOI Listing
January 2018
1 Read

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

View Article

Download full-text PDF

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

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

Hand (N Y) 2019 05 27;14(3):305-310. Epub 2017 Oct 27.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944717735948DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535946PMC
May 2019
11 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

View Article

Download full-text PDF

Source
May 2018
13 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944716677541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684930PMC
September 2017
24 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0036-1597681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5515604PMC
August 2017
55 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3945/ajcn.116.145599DOI Listing
July 2017
69 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3928/01477447-20170509-04DOI Listing
July 2017
50 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944716661994DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349415PMC
March 2017
18 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1558944716643080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349405PMC
March 2017
34 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

View Article

Download full-text PDF

Source
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
9 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hansur.2016.11.004DOI Listing
February 2017
23 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hcl.2016.08.010DOI Listing
February 2017
26 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193416676663DOI Listing
March 2017
4 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00590-016-1867-7DOI Listing
January 2017
22 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00132-016-3333-yDOI Listing
November 2016
6 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

View Article

Download full-text PDF

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

[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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
August 2016
27 Reads