A vascularised bone-graft procedure from the base of the second metacarpal was performed in 14 patients with nonunion of the scaphoid. There were 11 men and three women with a mean age of 22 years. In eight patients, who had dorsiflexed intercalated segment instability (DISI), an open wedge was formed at the site of nonunion, and the vascular pedicle was grafted from the volar side. In the six ...

BACKGROUND Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduction and internal fixation or closed reduction and casting. METHODS To compare surgical versus non-operative results of treatment after trans-scaphoid peri...

conclusions our results in terms of asami scores are comparable with the published literature. furthermore, our return to work is better than most european studies (63%). all our patients said they would have the procedure again. we attribute this success partly to the multidisciplinary approach. we recommend early referral to a dedicated unit if there is any evidence of a non-::union::. result...

Purpose: This study evaluated the functional outcome after conservative treatment of non-displaced scaphoid fractures using an international validated outcome scale (DASH). Methods and materials: Between 2005 and 2010, 60 patients with a non-displaced scaphoid fracture were included. When a patient visited the emergency department and was clinically suspected of a scaphoid fracture radiography ...

INTRODUCTION Standard management of scaphoid fractures is based largely on tradition and anecdote. Technological advances such as improved imaging, wrist arthroscopy, and cannulated screws are contributing to a rapid evolution in the diagnosis and management of scaphoid fractures and their sequelae. This review outlines some of the controversies surrounding scaphoid fractures, in the context of...