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Review
. 2007 Apr;38(2):237-49, vii.
doi: 10.1016/j.ocl.2007.02.012.

Management of scaphoid nonunions

Thanapong Waitayawinyu  1 , H James Pfaeffle, Wren V McCallister, Nicholas M Nemechek, Thomas E Trumble
Affiliations
Review

Management of scaphoid nonunions

Thanapong Waitayawinyu et al. Orthop Clin North Am. 2007 Apr.

Abstract

Scaphoid nonunions can exist with or without avascular necrosis of the proximal pole, and waist fractures may have an associated humpback deformity. CT best shows the deformity and bone loss, whereas MRI will show avascular necrosis. Operative treatment should be directed at correcting the deformity with open reduction and internal fixation and bone grafting. Vascularized bone grafts should be used in cases of avascular necrosis.

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Republished in

  • Management of scaphoid nonunions.
    Waitayawinyu T, Pfaeffle HJ, McCallister WV, Nemechek NM, Trumble TE. Waitayawinyu T, et al. Hand Clin. 2010 Feb;26(1):105-17. doi: 10.1016/j.hcl.2009.08.011. Hand Clin. 2010. PMID: 20006249

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