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. 2015 Dec 6;47(3):292-6.
doi: 10.1016/S2255-4971(15)30101-4. eCollection 2012 May-Jun.

PSEUDARTHROSIS OF THE SCAPHOID IN IMMATURE SKELETONS

Marcelo Barreto de Lemos  1 , Ádria Simone Ferreira Bentes  2 , Miguel Flores do Amaral Neto  3 , Leandro de Freitas Spinelli  4 , Antônio Lourenço Severo  1 , Osvandré Lech  5
Affiliations

PSEUDARTHROSIS OF THE SCAPHOID IN IMMATURE SKELETONS

Marcelo Barreto de Lemos et al. Rev Bras Ortop. .

Abstract

This paper presents a review of the literature on pseudarthrosis of the scaphoid in skeletally immature individuals, taking into consideration its epidemiology, diagnosis and treatment, as well as its controversies. Knowledge of this subject makes it possible for patients to be given appropriate treatment immediately. Pseudarthrosis of the scaphoid in skeletally immature patients is a rare condition that results from error or lack of diagnosis of a fracture. Thus, careful clinical and radiographic examination should be performed in order to confirm or rule out this diagnosis. Several treatment methods have been reported and have shown good results. These include conservative plaster cast treatment, bone graft without osteosynthesis, bone graft with Kirschner wires, percutaneous screws and bone graft with compression screws. The treatment performed depends on the characteristics of the pseudarthrosis and the surgeon's experience.

Keywords: Pseudarthrosis; Scaphoid Bone; Wounds and Injuries; Wrist.

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Figures

Figure 1
Figure 1
Filan and Herbert classification.
Figure 2
Figure 2
Anteroposterior and lateral radiographs showing pseudarthrosis of the scaphoid in the middle third.
Figure 3
Figure 3
Anteroposterior and lateral radiographs showing consolidation of the scaphoid.
Figure 4
Figure 4
Functional result.
See this image and copyright information in PMC

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