Nonunion can occur relatively frequently after scaphoid fracture and appears to be associated with severity of injury. There have been a number of techniques described for bone grafting with or without screw fixation to facilitate fracture healing. However, even with operative fixation of scaphoid fractures with bone grafting nonunion or malunion rates of 5 to 10 percent are still reported. Thi...

Idiopathic avascular necrosis of the scaphoid is a rare condition. A review of the literature shows a variety of conditions labelled as spontaneous avascular necrosis or Preiser's disease. In this paper we report on a study of eight patients with idiopathic avascular necrosis affecting only the proximal pole of the scaphoid. Seven of these patients had positive ulnar variance. The possible aeti...

Aims The aim of the Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT) was to determine optimal treatment adults with a bicortical undisplaced or minimally displaced fracture waist scaphoid, comparing early surgical fixation initial cast immobilization, immediate being offered patients nonunion. Methods A cost-effectiveness analysis conducted assess relative merits these forms treatm...

The wrist represents a complex anatomic region in the human extremity and a highly functional and intricate structural joint. Most perilunate injuries result from a staged disruption of the ligamentous structures. Forces may be directed through the carpal bones themselves resulting in a fracture. Early anatomic reduction of any carpal malalignment is of the utmost importance. Unfortunately, eve...

INTRODUCTION The purpose of this study was to identify clinical tests for scaphoid fractures and, using a higher order analysis, to determine their diagnostic accuracy. METHODS A literature review of the databases CINAHL, Embase, Medline and PUBMED from 1980 to September 30, 2011 was conducted to obtain applicable literature on clinical tests used in identifying scaphoid fractures. Methodolog...

BACKGROUND: The scaphoid is the most prominent of the carpal bones in the first row and the most frequently fractured of all the carpal bones. Bilateral simultaneous scaphoid fractures are uncommon. OBJECTIVE: To report bilateral simultaneous fractures of the carpal scaphoid bones and their successful treatment with bilateral thumb spacia casts METHODS: A 28-year-old medical practitioner presen...

An 1 1 year old boy fell off a swing onto an outstretched left hand. He attended the accident and emergency department with a painful, swollen left elbow. Radiography of the injured elbow confirmed the undisplaced supracondylar fracture (fig 1). He was treated with a broad arm sling. A week later the child was seen in the fracture clinic and overall evaluation revealed tenderness over the left ...

Scaphoid stress fractures are rare injuries that have been described in young, high-level athletes who exhibit repetitive loading with the wrist in extension. We present a case of an occult scaphoid stress fracture in a 22-year-old female Division I collegiate shot-putter. She was successfully treated with immobilization in a thumb spica splint for 6 weeks. Loaded wrist extension activities can...

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...