Acute fractures of the scaphoid were randomly allocated for conservative treatment in a Colles'-type plaster cast with the wrist immobilised in either 20 degrees flexion or 20 degrees extension. The position of the wrist did not influence the rate of union of the fracture (89%) but when reviewed after six months the wrists which had been immobilised in flexion had a greater restriction of exten...

A consecutive series of 100 cases of wrist injury, other than those referred with a radial fracture, have been reviewed to determine the incidence of acute scapholunate instability; a "clenched fist" radiograph was used in addition to the routine scaphoid views. Of 19 patients with an increase in the scapholunate gap, five were eventually considered to have significant scapholunate instability,...

It is important to have patients describe the injury; acting out the traumatic event if possible. The physician must consider the age of the patient when evaluating the mechanism of injury. For example, the injury resulting from a fall on to the outstretched hand with the wrist extended will vary depending on the patient’s age, typically causing a greenstick fracture in a toddler, a growth plat...

It is important to have patients describe the injury; acting out the traumatic event if possible. The physician must consider the age of the patient when evaluating the mechanism of injury. For example, the injury resulting from a fall on to the outstretched hand with the wrist extended will vary depending on the patient’s age, typically causing a greenstick fracture in a toddler, a growth plat...

Avascular necrosis (AVN) of the scaphoid in children is very rare and there is currently no consensus when conservative or operative treatment is indicated. A 10-year-old boy, practicing karate, presented with acute pain in his left wrist after falling on the outstretched hand. Imaging showed a scaphoid waist fracture with signs of an ongoing AVN. The diagnosis of AVN was confirmed with signal ...

INTRODUCTION The purpose of this paper is to share the outcome of cases of scaphoid non-union treated with 1,2 intercompartmental supraretinacular artery (1,2 ICSRA) vascularised graft at our institution, as well as to identify the possible factors for the failure of the procedure. METHODS This was a retrospective review of 13 cases of scaphoid fracture non-union treated with 1,2 ICSRA vascul...

It is important to have patients describe the injury; acting out the traumatic event if possible. The physician must consider the age of the patient when evaluating the mechanism of injury. For example, the injury resulting from a fall on to the outstretched hand with the wrist extended will vary depending on the patient’s age, typically causing a greenstick fracture in a toddler, a growth plat...

Scaphocapitate syndrome is quite rare. It usually remain undiagnosed at first and is treated as a scaphoid fracture. This syndrome was first reported in 1937. Since then 14 more cases have been reported. Six types have been described with type 1 being the most common one. This is the first case reported from the department of orthopaedic surgery, Ahvaz university of medical sciences.

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...

We reviewed 10 patients with symptomatic malunion of a carpal scaphoid fracture. All had displacement with dorsiflexed intercalated segment instability, and suffered from pain, restricted range of movement at the wrist and decreased grip strength. The restriction of flexion-extension and the decreased grip strength correlated with the severity of the DISI deformity. Seven patients had a correct...