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...

Non-union of fractures of the scaphoid bone usually results from failure to recognise or adequately to treat a fresh fracture. It is important to differentiate delayed union from established non-union. In the former, even if a year has elapsed since fracture, and even if the radiograph shows a wide cystic fracture line with or without avascular changes in the proximal fragment, union is still p...

Abstract Prompt and accurate diagnosis of scaphoid fractures are crucial in preventing complications such as non-union, avascular necrosis & early-onset arthritis. Research has shown that initial radiographs detect a fracture 85–90% cases, but it can be occult up to 10–15%. In 2016 NICE recommended MRI should considered for first-line imaging patients with suspected fractures. Our aim is de...

Two cases of idiopathic avascular necrosis of the scaphoid are reported and it is suggested that the aetiology could be the same as that recently described for Keinboeck's disease by Beckenbaugh et al. (1980). The condition described in this paper is a different entity from that described by Preiser (1910), which was probably not an osteochondritis but an undiagnosed fracture.

Two Types of Fracture There' are roughly two main types of fracture of the waist of the carpal scaphoid. In type I there is a crack in the bone with negligible or no displacement, whilst in type II fractures there is an appreciable gap and some degree of displacement. The prognosis is best in type I and frequently the cartilage over the fracture line is intact. McLaughlin (1954) decided to trea...

BACKGROUND Scaphoid fractures are commonly seen in orthopedic practice. An organized and thoughtful approach to diagnosis and treatment can facilitate good outcomes. However, despite optimal treatment, complications may ensue. In the setting of nonunion or an avascular proximal pole, vascularized bone grafting may be needed. METHODS AND RESULTS In this article we review the literature regardi...

Despite the high incidence of scaphoid fractures, their diagnosis and treatment is often delayed which can lead to complications such as non-union, avascular necrosis, and future arthritis. We present three cases with non-classical mechanisms of injury, leading to a delayed diagnosis in all three cases. Our cases serve to emphasize the importance of a high index of suspicion for the possibility...

This is a retrospective study of six children with ununited scaphoid fractures treated conservatively. Their mean age was 12.8 years (9.7 to 16.3). Five had no early treatment. Radiological signs of nonunion were found at a mean of 4.6 months (3 to 7) after injury. Treatment consisted of cast immobilisation until clinical and radiological union. The mean clinical and radiological follow-up was ...