Bone Pegging the Carpal Scaphoid

Congenital hypoplasia of the carpal scaphoid bone.

Three cases of absence of the carpal scaphoid bone have previously been reported in this country (Hodgson 1943, Hanley and Conlon 1957). All three had similar deformities, namely absence or hypoplasia of the carpal scaphoid bone, associated with retardation in the development of the first metacarpal bone, the styloid process of the radius and thenar muscles. While agreeing with these authors th...

Isolated carpal scaphoid dislocation.

Isolated carpal scaphoid dislocations are rare. Because of this, treatment strategies can be conflicting and vague. The current authors present a case of isolated scaphoid dislocation that was treated initially with closed reduction and percutaneous pinning. Failure of this index treatment necessitated open reduction and internal fixation providing an adequate short-term outcome. Current treatm...

Fracture of the Carpal Scaphoid

Carpal fractures in athletes excluding the scaphoid.

A wide range of hand and wrist injuries occur in today's recreational and elite athletes and account for 3% to 9% of all sports injuries. The onus is on the physician to discriminate between injuries that can be managed with an early return to sport, and those injuries that place the athlete at risk of further injury if they are not managed aggressively from the outset. The physician and the at...

Carpal Box radiography in suspected scaphoid fracture.

We have assessed the value of using a simple apparatus,the Carpal Box, in patients with suspected scaphoid fracture, to produce elongated and magnified radiographs of the carpus. The interobserver agreement between 60 observers of standard scaphoid radiographs and longitudinal and transverse Carpal Box radiographs (X-CB) was compared in 11 patients. Three-phase bone scanning was used as a compa...