background: the i-space is a radiological imaging system in which computed tomography (ct)-scans can be evaluated as a three dimensional hologram. the aim of this study is to analyze the value of virtual reality (i-space) in diagnosing acute occult scaphoid fractures.   methods: a convenient cohort of 24 patients with a ct-scan from prior studies, without a scaphoid fracture on radiograph, yet ...

Ununited fractures of the scaphoid with extensive bone resorption are usually treated by bone grafting and internal fixation, using either an open or a minimally invasive technique. We studied the feasibility of percutaneous fixation without bone grafting in a consecutive series of 27 patients with established nonunion of an undisplaced fracture of the scaphoid and extensive local resorption of...

Background: The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) andtransscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without ligament repairor reconstruction.Methods: A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorougha volar app...

Tenderness in the anatomical snuff box (ASB) has long been accepted as an indicator of a possible scaphoid fracture. The longitudinal axis of the scaphoid lies in an anteroposterior plane, perpendicular to the remainder of the carpal bones, in the radially deviated wrist. The scaphoid tubercle can therefore be easily and accurately palpated on the palmar aspect of the radially deviated wrist. T...

Introduction: Internal fixation used as treatment for scaphoid fractures has increased with advances in surgical techniques [1]. Proximal pole scaphoid fractures present a clinical challenge due to their lower success rate when cast immobilization and internal fixation are utilized [2]. Screws maximizing length have been shown to impact wrist motion for fixed scaphoid waist fractures [3]. Addit...

Fractures of the scaphoid bone mainly occur in young adults and constitute 2-7% of all fractures. The specific blood supply in combination with the demanding functional requirements can easily lead to disturbed fracture healing. Displaced scaphoid fractures are seen on radiographs. The diagnostic strategy of suspected scaphoid fractures, however, is surrounded by controversy. Bone scintigraphy,...

Background: Prevalence of recurrent shoulder dislocation in patients taking tramadol has not been studiedyet so, this study aims to study the recurrent shoulder dislocation following tramadol induced seizure. Methods: In this cross-sectional study, 205 patients with recurrent shoulder dislocation complaints (2 or more) referred to Shafa Orthopedic and Iranmehr hospitals Tehran, Iran, from Oc...

OBJECTIVES The aim of this study was to assess the cost effectiveness of multiple competing diagnostic strategies for suspected scaphoid fractures. METHODS With published data, the authors created a decision-tree model simulating the diagnosis of suspected scaphoid fractures. Clinical outcomes, costs, and cost effectiveness of immediate computed tomography (CT), day 3 magnetic resonance imagi...

A 30-year-old man with a complete L2 level of spinal cord injury (SCI) was seen due to right wrist pain. Medical history revealed a scaphoid fracture due to fall 6 months ago. Although surgical fixation was recommended in that period, the patient had refused surgery and static hand-wrist splint was recommended. The patient also stated that the pain worsened progressively over months. He could n...

Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This study compared the outcomes of two surgical internal fixation techniques, using either Herbert screws (HS group) or multiple pins (MP group), in the treatment of scaphoid fractures. Methods: This cross-sectional study was performed on 41 patients (23 in HS and 18 in MP groups) with unilateral scaphoid fract...