Four corner arthrodesis is an accepted salvage operation for scapholunate advanced collapse and scaphoid non-union advanced collapse. Circular plates were introduced in 1999 and promoted as a rapid and more stable method for this procedure. A retrospective chart review was performed on all patients who were treated with the Spider Limited Wrist Fusion Plate (Kinetikos Medical Inc., San Diego, C...

Eleven patients who had an ununited fracture of the scaphoid associated with loss of the blood supply to the proximal fragment were managed operatively with a combination of an inlay corticocancellous bone graft from the iliac crest and implantation of the second dorsal intermetacarpal artery, its accompanying venae comitantes, and a thin cuff of perivascular tissue. The absence of the blood su...

BACKGROUND Fractures of the scaphoid are well known to be problematic especially when complicated by avascular necrosis, nonunion and carpal collapse. Fixation techniques have involved nonvascularised bone grafting; however, in the presence of avascular necrosis, generally poor union rates (47%) occur as identified by a meta-analysis performed by Merrell et al. The introduction of pedicled vasc...

The scaphoid is the most common of the carpal bones to fracture; upper limb fractures are associated in 5-10% of cases, and around 2% of the concomitant fractures are of the distal radius. One case of bilateral carpal scaphoid fractures associated with bilateral distal radius fractures is presented. Radiographs showed displaced Salter-Harris Type II radius fracture and nondisplaced transverse m...

PURPOSE To assess the results of a hybrid Russe procedure using a corticocancellous strut, cancellous autologous nonvascularized bone graft, and cannulated headless compression screw to reduce the deformity reliably from a collapsed scaphoid nonunion, provide osteoinductive stimulus, and stabilize the fracture for predictable union. METHODS A hybrid Russe procedure was performed for scaphoid ...

We report on a 74-year-old man with extensor indicis proprius (EIP) tendon rupture secondary to avascular necrosis and collapse of the scaphoid. The collapsed scaphoid was removed, followed by 4-corner fusion and tendon transfer of the extensor digiti minimi to the EIP. At the 3-year follow-up, the patient was painfree and had full extension of his left index finger, with proper alignment of th...

Sir, The importance of flexor carpi radialis (FCR) as a donor muscle in tendon transfers,[1,2] as a tendon graft[3,4] and as an anatomical landmark has been well established. The anatomical variations of FCR are very rare but can have great significance in such cases.[5,6] We report a rare case of congenital absence of FCR muscle found during an elective surgery of bone grafting for scaphoid no...