A suspected fracture of the scaphoid remains difficult to manage despite advances in knowledge and imaging methods. Immobilisation and restriction of activities in a young and active patient must be balanced against the risks of nonunion associated with an undiagnosed and undertreated fracture of the scaphoid. The assessment of diagnostic tests for a suspected fracture of the scaphoid must take...

BACKGROUND Clinical and radiographic diagnoses of scaphoid fractures are often challenging at the time of injury. Patients are therefore usually reassessed which has cost implications. Various investigations exist but MRI has been suggested as effective in diagnosing these injuries early. AIM To determine whether early MRI in suspected occult scaphoid fractures is more clinically and cost eff...

Preoperative 3D CT imaging techniques provide displacement analysis of the distal scaphoid fragment in 3D space, using the matched opposite scaphoid as reference. Its accuracy depends on the presence of anatomical bilateral symmetry, which has not been investigated yet using similar techniques. Our purpose was to investigate symmetry by comparing the relative positions of distal and proximal po...

BACKGROUNDS This paper describes a novel method in treatment of scapholunate dissociation accompanied with rotatory subluxation of the scaphoid. The idea of this method is to create a kind of axial lever that can fully reconstruct anatomical relationship between the scaphoid and the lunate, with no involvement of extrinsic ligaments, and with simultaneous restriction of pathological alignment o...

Trans-scaphoid perilunate fracture dislocations, which account for more than half of total cases injuries, are common in young patients and occur as a result high-energy improper management can impair wrist alignment function. Understanding the related anatomy pathomechanics may help surgeons evaluate diagnose patients. Early operation to reduce fix injuries should be considered achieve optimal...

a case with scaphoid osteochondroma (exostosis) with wrist pain and tender mass. in this case, mass resection was performed with excellent outcome.

As per literature the immediate and late carpal tunnel syndrome in colles fracture and other wrist injuries is known but tardy carpal tunnel syndrome in fracture Scaphoid is rare. I am presenting a case of tardy carpal tunnel syndrome in patient with non-union fracture scaphoid with 40 years old injury.

Avascular necrosis (AVN) of the scaphoid predominantly occurs in the proximal pole. Review of the literature revealed only six cases and all are suspect due to the lack of either MRI investigation or investigation of bleeding preoperatively. We report four new cases and one of them appears to be a real distal pole AVN of the scaphoid in the literature.

Isolated dislocation of the carpal scaphoid is a rare injury. Such dislocation is extremely rare. In this article the authors report a twenty-eight-year-old man with isolated dislocation of the scaphoid with associating radial styloid fracture. We manage the patient with open reduction and Kirschner wire fixation. One year later there is a good functional and radiographic result.

BACKGROUND Despite extensive literature supporting the use of computerized tomography (CT) scans in evaluating scaphoid fractures, there has not been a consensus on the methodology for defining and quantifying union. The purpose of this study was to test the inter-observer reliability of two methods of quantifying scaphoid union. METHODS The CT scans of 50 non-operatively treated scaphoid fra...