DISLOCATION of the scaphoid is a rare injury of which only a few reports of its occurrence appear in the literature. These include Higgs (1930), two cases; Buzby (1934); Kuth (1939); Wood-Walker (1943); Schlossbach (1954) and Connell & Dyson (1955), all reporting single cases. Russell (1949), in a review of intercarpal dislocations and fracture dislocations reported only one case of dislocation...

We have reviewed 22 patients with scaphoid fractures treated by internal fixation with the Herbert screw. Three patients had trans-scaphoid perilunar dislocations, one had an oblique displaced fracture of the waist of the scaphoid and 18 had fractures with delayed or non-union. Corticocancellous bone grafts were added in nine of the cases of non-union. Results were excellent or good in 80% of c...

A rare combination of an ulnar fracture with posterior dislocation of the head of the radius and fracture of the radius shaft concomitant with an ipsilateral scaphoid fracture is presented. To the best of our knowledge, no such case has been reported. The mechanism of this fracture combination is discussed with respect to its role in producing the Monteggia type II fracture. Treatment consisted...

A 35-year-old male office worker fell on an outstretched hand, injuring his dominant wrist. He had persistent pain about the radial aspect of the wrist. He reported no prior injury or symptoms proximally. On physical examination, mild swelling with tenderness was observed about the scaphoid in the snuffbox. Mild limitation of wrist range of motion existed. Anteroposterior (A), lateral (B), and ...

The aim of this study was to better quantify the role of delayed MRI scans in acute wrist injuries, and to assess the prevalence and distribution of multiple occult injuries of the wrist. A retrospective study was made of all patients who had been referred to the orthopaedic trauma clinic for a possible scaphoid fracture and with normal radiographs over a two year period. There were 110 patient...

Background: While plain radiography is commonly used to assess scaphoid fracture, this imaging modality may not accurately demonstrate early bone healing. This investigation evaluates the utility of 64-slice CT in the detection of early fracture healing compared to plain radiographs and magnetic resonance imaging (MRI). Methods: Outpatients attending follow-up visits for scaphoid fractures at H...

Of all wrist dislocation, the perilunate is the most common type of dislocation. There is ligament disruption typically begins radially and propagates around the lunate. It may be associated with different carpal fractures which the most common pattern is the trans-scaphoid perilunate fracture-dislocation [1,2] which constitutes approximately 50% of these injuries [1-5]. Injury to the distal ra...

A prospective study of 111 patients thought to have sustained a recent scaphoid fracture on clinical grounds but who were radiologically negative was undertaken over a period of 7 months. All such patients were subjected to ultrasound scanning within a week of their injury under double blind conditions. All patients were re-X-rayed 2-3 weeks after their injury. The authors' results suggest that...

Chondroma is the most common primary bone tumour of the hand, but carpal chondroma has, as far as we know, been reported only twice previously in the English language literature: in one report by Dahlin (1957), no localisation was mentioned: the other, by Takigawa (1971) described a patient with a chondroma in the scaphoid and lunate of the right wrist. We report two patients each with a chondr...

We reviewed the records of 431 patients who had open reduction and internal fixation of the scaphoid performed by one surgeon (TJH) over a 13-year period. The Herbert bone screw provided adequate internal fixation without the use of plaster immobilisation, promoting a rapid functional recovery. On average, patients returned to work 4.7 weeks after surgery and wrist function was significantly im...