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Review
. 2013 Mar;4(1):3-10.
doi: 10.1016/j.jcot.2013.01.009. Epub 2013 Feb 4.

Managing scaphoid fractures. How we do it?

Vikas Gupta  1 , Laxman Rijal  2 , Akram Jawed  2
Affiliations
Review

Managing scaphoid fractures. How we do it?

Vikas Gupta et al. J Clin Orthop Trauma. 2013 Mar.

Abstract

The scaphoid is the common carpal bone to be fractured. Proper clinical and radiological evaluation is required to establish it's diagnosis. The management of acute fractures includes conservative treatment with cast in minimally displaced to open reduction and internal fixation in case of displaced ones. The established nonunion requires open reduction, bone grafting and internal fixation.

Keywords: Herbert–Whipple screw; Percutaneous fixation; Scaphoid fractures; Vascularized bone graft.

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Figures

Fig. 1
Fig. 1
a: Immediate after trauma (AP and lateral view of wrist). b: MRI detects the occult fractures. The white arrow suggestive of fracture. MRI revealed fracture the same day. c: Same patient after 2 weeks showing fracture line.
Fig. 2
Fig. 2
a: Proximal pole fracture. b: Healed fracture lateral view and AP view in ulnar deviation (Percutaneous fixation dorsal approach).
Fig. 3
Fig. 3
a: Fracture waist of scaphoid. b: Marking in AP view. c: Percutaneous guide wire insertion. d: cannulated drill and guide wire. e: Lateral view after fixation. f: Stab wound after suturing.
Fig. 4
Fig. 4
a: Trans-scaphoid – perilunate dislocation. b: Radiograph showing union of scaphoid and preservation of carpal architecture.
Fig. 5
Fig. 5
United fracture after tricortical iliac crest graft and screw fixation from volar approach.
See this image and copyright information in PMC

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