The hand and wrist are used in almost all sports and the hand is often the least protected part of the upper extremity, leaving it vulnerable to injuries. Therefore, the hand is the most frequently injured part of the athlete's upper extremity. These injuries vary widely; diagnosis is straightforward for many but not for others. When not diagnosed early and managed appropriately, these injuries...

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BACKGROUND Delays in diagnosis and inadequate treatment of acute scaphoid fractures can lead to non-unions, presenting surgeons with unique challenges regarding optimal management. OBJECTIVES To evaluate the clinical and radiographic outcome of scaphoid non-unions treated with percutaneous screw fixation. METHODS The study group comprised 12 patients with scaphoid non-unions of an average d...

The purpose of this study was to analyze the relative biomechanical stability of three types of internal fixation with cancellous bone graft in a cadaveric, scaphoid nonunion model. A scaphoid nonunion model was created by removing a volar wedge of bone from the waist of the scaphoid in 18 fresh frozen human cadavers. Cancellous sawbone graft was inserted into the osteotomy site and three group...

Headless screws are favored for internal fixation in the treatment of displaced or unstable small bone (e.g., Scaphoid) fractures, because they are embedded below the articular surface of the bone, reducing tissue irritation and immobilization. Compression plays an important role in fracture stability, maintaining gap reduction and also accelerating the healing of cancellous bone [1]. There are...

AIMS To compare complications associated with dorsal percutaneous and limited dorsal approaches in the surgical treatment of fractured scaphoid bone. METHODS A total of 51 patients with acute type A2, B2 and B3 scaphoid fractures were treated by limited dorsal approach. During follow-up examinations we analysed the functional outcome and per- and post-operative complications, and we compared ...

Scaphoid fractures are a common injury in young, active populations. Non-displaced fractures have a high union rate if promptly treated with cast immobilization. Displaced fractures and proximal pole fractures are best treated with operative fixation. There are a variety of techniques and implants available to the surgeon. The surgical approach and fixation device should be based on fracture ch...