RS Richards, JH Roth. Scaphoid fractures. Can J Plast Surg 1996;4(3):143-149. Scaphoid fractures are the most common carpal bone fractures and present physicians with many problems. The majority of such fractures (90%) will unite if properly treated; however a scaphoid fracture that goes on to nonunion affects a patient’s working capacity for a long period of time. This paper reviews the pathop...

INTRODUCTION Scaphoid fracture is the most common fracture among the bones of the wrist. Plain radiography has a sensitivity of 59 to 79 percent for the diagnosis of scaphoid fracture after injury. Casting is done to avoid complications in patients with suspected fractures with normal radiography. Magnetic resonance imaging (MRI) has a sensitivity of 100% and a specificity of 99%. To avoid unne...

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...

A stress fracture of the scaphoid combined with distal radial epiphysiolysis occurred in a 16 year old badminton player. Repeated shearing and torsional forces by excessive wrist movement from hitting a shuttle probably cause stress injuries in both the scaphoid and the distal radius.

 We present an exceedingly rare case of left Monteggia-Galeazzi fracture-dislocation and right Monteggiadistal radius fracture occurring simultaneously in a 20-year old male patient who had fallen 13 meters from a building. The combination of Monteggia and Galeazzi fracture-dislocation in the same forearm is very rare and, to the best of our knowledge, simultaneous bilateral Monteggia and Galea...

Twenty observers reported independently on the presence or absence of a fracture of the scaphoid on 60 sets of radiographs; these included initial and 2- to 3-week views in patients in whom the outcome was known, normal scaphoids and random copies of these. Analysis of variance of the accuracy of observations revealed that the 2- to 3-week radiographs did not improve diagnostic ability and that...

BACKGROUND This report is about unusual multiple upper extremity concomitant injuries in an adult after a fall from a height. To the best of our knowledge this is the first reported case of concomitant ipsilateral occurrence of multiple common injuries, uncommonly occurring together in a single traumatic episode. CASE REPORT A 36-year-old right-handed man fell through a skylight to the floor ...

Although most recent fractures of the carpal scaphoid unite with immobilisation in a well-fitting plaster, some fail to do so within a reasonable time, say three months. Fractures associated with perilunar dislocation are particularly prone to delay. For these, as well as for fractures showing delayed union or non-union, internal fixation provides a speedy return to activity. Over a period of t...