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Articles de revues sur le sujet « Scaphoid Waist Fracture »

Auteur : Grafiati

Publié le 7 juin 2025

Mis à jour le 2 août 2025

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1

Clementson, Martin, Anders Björkman, and Niels O. B. Thomsen. "Acute scaphoid fractures: guidelines for diagnosis and treatment." EFORT Open Reviews 5, no. 2 (2020): 96–103. http://dx.doi.org/10.1302/2058-5241.5.190025.

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In cases of suspected scaphoid fracture where the initial radiographs are negative, a supplementary MRI, or alternatively CT, should be carried out within three to five days. Fracture classification, assessment of dislocation as well as evaluation of fracture healing is best done on CT with reconstructions in the coronal and sagittal planes, following the longitudinal axis of the scaphoid. After adequate conservative management, union is achieved at six weeks for approximately 90% of non-displaced or minimally displaced (≤ 0.5 mm) scaphoid waist fractures. Scaphoid waist fractures with moderat

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FRITSCHE, E. A., C. HORT, and G. NOEVER. "Simultaneous Fractures of the Waist and Tuberosity of the Scaphoid." Journal of Hand Surgery 22, no. 6 (1997): 814–16. http://dx.doi.org/10.1016/s0266-7681(97)80456-1.

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We present a case of a double fracture of the scaphoid. A non-displaced transverse fracture of the waist was associated with a displaced fracture of the tuberosity in the same scaphoid. To our knowledge this combination in an acutely fractured scaphoid has been described in only six previous cases.

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Davis, TRC. "Prediction of outcome of non-operative treatment of acute scaphoid waist fracture." Annals of The Royal College of Surgeons of England 95, no. 3 (2013): 171–76. http://dx.doi.org/10.1308/003588413x13511609956895.

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Fifteen per cent of acute fractures of the scaphoid waist fail to unite if treated non-operatively in plaster, resulting in persistent loss of function. Suspected risk factors for non-union include proximal fracture fragment avascularity and assessments of fracture displacement and comminution. This series of studies investigated whether one can accurately identify which scaphoid waist fractures will unite with plaster treatment. They suggest that proximal fracture fragment vascularity is not a predictor of outcome. In contrast, assessments of fracture displacement on magnetic resonance imagin

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Beks, Reinier, Tessa Drijkoningen, Femke Claessen, Thierry Guitton, and David Ring. "Interobserver Variability of the Diagnosis of Scaphoid Proximal Pole Fractures." Journal of Wrist Surgery 07, no. 04 (2018): 350–54. http://dx.doi.org/10.1055/s-0038-1641716.

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Purpose Fractures of the proximal pole of the scaphoid are prone to adverse outcomes such as nonunion and avascular necrosis. Distinction of scaphoid proximal pole fractures from waist fractures is important for management but it is unclear if the distinction is reliable. Methods A consecutive series of 29 scaphoid fractures from one tertiary hospital was collected consisting of 5 scaphoid proximal pole and 24 scaphoid waist fractures. Fifty-seven members of the Science of Variation Group (SOVG) were randomized to diagnose fracture location and displacement by using radiographs alone or radiog

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Komura, Shingo, Yasushi Suzuki, and Tatsuya Ikehata. "SIMULTANEOUS FRACTURE OF THE WAIST OF THE SCAPHOID AND THE HOOK OF THE HAMATE." Hand Surgery 15, no. 03 (2010): 233–34. http://dx.doi.org/10.1142/s0218810410004898.

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A case of simultaneous fracture of the waist of the scaphoid and the hook of the hamate is presented. The scaphoid fracture was treated surgically with a headless compression screw, while the hook fracture was treated conservatively with cast immobilisation for eight weeks. Both fractures achieved bone union and the patient returned to work without any symptoms or complications. Only two cases of fractures of the scaphoid and hamate have been reported previously. However, both of them involved fracture of the body of the hamate. This is the first report of simultaneous fracture of the scaphoid

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Drijkoningen, Tessa, Amin Mohamadi, Wouter F. van Leeuwen, Yonatan Schwarcz, David Ring, and Geert A. Buijze. "Scaphoid Fracture Patterns—Part Two: Reproducibility and Demographics of a Simplified Scaphoid Fracture Classification." Journal of Wrist Surgery 08, no. 06 (2019): 446–51. http://dx.doi.org/10.1055/s-0039-1692470.

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Abstract Objective To analyze the reproducibility, reliability, and demographics of a simplified anatomical scaphoid fracture classification based on posteroanterior radiographs using a large database of scaphoid fractures. Methods The study consisted of a retrospective review of electronic medical records of 871 consecutive patients. All patients presented between 2003 and 2014 at two centers. Patient- and surgeon-related factors were analyzed. Additionally, interobserver reliability of the Herbert and simplified scaphoid fracture classifications were tested. Results Proximal pole fractures w

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Fitzpatrick, Elizabeth, and Timothy Fowler. "Simultaneous Fractures of the Ipsilateral Scaphoid and Distal Radius." Journal of Wrist Surgery 07, no. 04 (2018): 303–11. http://dx.doi.org/10.1055/s-0038-1641719.

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Background Ipsilateral fractures of the distal radius and scaphoid are rare, with few reports describing mechanisms of injury, fracture patterns, and treatment approaches. Purpose This article describes the clinical and radiographic features of ipsilateral distal radius and scaphoid fractures occurring simultaneously. Materials and Methods Electronic databases from 2007 to 2017 at a single Level 1 trauma center were reviewed for patients with concurrent fractures of the distal radius and scaphoid. Patient demographics, injury mechanism, scaphoid and distal radius fracture pattern, treatment ap

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Drijkoningen, Tessa, Paul ten Berg, Thierry Guitton, David Ring, and Chaitanya Mudgal. "Reliability of Diagnosis of Partial Union of Scaphoid Waist Fractures on Computed Tomography." Journal of Hand and Microsurgery 10, no. 03 (2018): 130–33. http://dx.doi.org/10.1055/s-0038-1636831.

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AbstractComputed tomography (CT) is increasingly used not just to diagnose union but also to estimate the percentage of the fracture gap that is bridged by healing bone. This study tested the primary null hypothesis that there is no agreement between observers on the extent of union of a scaphoid waist fracture on CT. CT scans of 13 nondisplaced scaphoid waist fractures treated nonoperatively were rated by 145 observers. CT scans were done 10 to 12 weeks after injury. Observers were asked to “eyeball” measure percentage of union. We found that there was a moderate agreement on the categorical

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Swanstrom, Morgan, Kyle Morse, Joseph Lipman, Krystle Hearns, and Michelle Carlson. "Effect of Screw Perpendicularity on Compression in Scaphoid Waist Fractures." Journal of Wrist Surgery 06, no. 03 (2016): 178–82. http://dx.doi.org/10.1055/s-0036-1596059.

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Background Central and perpendicular (PERP) screw orientations have each been described for scaphoid fracture fixation. It is unclear, however, which orientation produces greater compression. Questions/Purposes This study compares compression in scaphoid waist fractures with screw fixation in both PERP and pole-to-pole (PTP) configurations. PERP orientation was hypothesized to produce greater compression than PTP orientation. Methods Ten preoperative computed tomography scans of scaphoid waist fractures were classified by fracture type and orientation in the coronal and sagittal planes. Three-

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Drijkoningen, Tessa, Amin Mohamadi, Shai Luria, and Geert A. Buijze. "Scaphoid Fracture Patterns—Part One: Three-Dimensional Computed Tomography Analysis." Journal of Wrist Surgery 08, no. 06 (2019): 441–45. http://dx.doi.org/10.1055/s-0039-1693050.

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Abstract Objective Using three-dimensional (3D) computed tomography models of acute scaphoid fractures, we looked for differences between volumetric size of the fracture fragments, recognizable groups, or a shared common fracture area. Methods We studied 51 patients with an adequate computed tomography scan of an acute scaphoid fracture using 3D modeling. Fracture surfaces were identified and fragment volumetric size of the fracture fragments was measured. A principal component analysis was used to find groups. Density mapping was used to image probable common fracture areas in the scaphoid. R

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Aruse, Ophir, Igor Immerman, Omar Badir, Madi El Haj, Ido Volk, and Shai Luria. "Scaphoid fracture displacement is not correlated with the fracture angle." Journal of Hand Surgery (European Volume) 46, no. 6 (2021): 607–15. http://dx.doi.org/10.1177/17531934211004434.

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Classifications of scaphoid fractures associate the angle of the fracture with its stability. To examine this assumption, we measured acute scaphoid fracture angles and inclinations in relation to different scaphoid axes, using fracture displacement as an indicator of instability. We examined the effect of using different axes on the measurements of angles. CT scans of 133 scaphoid fractures were classified according to the location of the fractures. Using a three-dimensional computer model, we computed four scaphoid axes. For each fracture, we then measured the fracture angle and the directio

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Vlček, Martin, Stanislav Štefanisko, Jan Pech, and David Veigl. "Conservative therapy of scaphoid waist fractures." Rozhledy v chirurgii 103, no. 10 (2024): 400–405. https://doi.org/10.48095/ccrvch2024400.

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Introduction: The goal of this work is to determine, using the analysis of our own patient group and current professional publications, in which cases fractures of the scaphoid waist can be treated conservatively by short-term plaster fixation with a low risk of non-union developing. Material and method: A group of 19 patients (17 men and 2 women) with the mean age 31 years (range 20–43, SD 7.3) with fractures of scaphoid waist were indicated for conservative treatment. The diagnosis was made on the basis of X-ray and CT examination. Conservative therapy consisted of applying plaster fixation

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Rothenfluh, Esin, Sambhav Jain, William R. Taylor, and Seyyed Hamed Hosseini Nasab. "Comparative Assessment of the Mechanical Response to Different Screw Dimensions in Scaphoid Fracture Fixation." Bioengineering 12, no. 8 (2025): 790. https://doi.org/10.3390/bioengineering12080790.

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The scaphoid is the most commonly fractured carpal bone. Headless compression screws became the gold standard for fixation, but the ideal screw diameter remains debated. This study investigates the relative benefit of using a larger screw diameter to improve stability in typical scaphoid fractures. It also examines the effects of preload and screw length on mechanical behaviour. A finite element (FE) model of a mid-waist scaphoid fracture was created. Screws from Medartis (1.7 mm, 2.2 mm, and 3.0 mm diameter; 23 mm length) were placed along the longitudinal axis. Boundary and loading condition

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YANG, Z. Y., L. A. GILULA, and K. JONSSON. "Os Centrale Carpi Simulating a Scaphoid Waist Fracture." Journal of Hand Surgery 19, no. 6 (1994): 754–56. http://dx.doi.org/10.1016/0266-7681(94)90252-6.

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The os centrale carpi is a relatively rare accessory carpal bone, and its presence may be confused with a scaphoid fracture. A case is presented which simulated an un-united scaphoid fracture on the plain X-ray film. However, CT in the sagittal plane showed two rounded fragments on the dorsum of the scaphoid with smooth, regular cortical margins differing from an acute scaphoid fracture. Their volume combined with the volume of the scaphoid is more than that of a completely normal scaphoid. There is no evidence of degeneration in the two rounded fragments and scaphoid. Because of these feature

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Amirfeyz, R., A. Bebbington, N. D. Downing, J. A. Oni, and T. R. C. Davis. "Displaced scaphoid waist fractures: the use of a week 4 CT scan to predict the likelihood of union with nonoperative treatment." Journal of Hand Surgery (European Volume) 36, no. 6 (2011): 498–502. http://dx.doi.org/10.1177/1753193411403092.

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This study assessed whether nonunion of displaced scaphoid waist fractures with nonoperative treatment could be predicted from 4 week CT scans. Thirty-one patients with unilateral displaced scaphoid waist fractures and adequate follow-up were included. CT scans in the longitudinal axis of the scaphoid with sagittal and coronal slices were done 4 weeks after the index injury. The effects of fracture gap, sclerosis and bone resorption on union were assessed. Fracture union was observed in all 13 displaced fractures with a <2 mm gap, four of the seven with a gap of 2–3 mm and only four of the

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Martin, James, Nick A. Johnson, Jenny Shepherd, and Joseph Dias. "Assessing the risk of re-fracture related to the percentage of partial union in scaphoid waist fractures." Bone & Joint Open 4, no. 8 (2023): 612–20. http://dx.doi.org/10.1302/2633-1462.48.bjo-2023-0058.r1.

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AimsThere is ambiguity surrounding the degree of scaphoid union required to safely allow mobilization following scaphoid waist fracture. Premature mobilization could lead to refracture, but late mobilization may cause stiffness and delay return to normal function. This study aims to explore the risk of refracture at different stages of scaphoid waist fracture union in three common fracture patterns, using a novel finite element method.MethodsThe most common anatomical variant of the scaphoid was modelled from a CT scan of a healthy hand and wrist using 3D Slicer freeware. This model was upload

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kun, Tamer, and Serta Meydaneri. "Relationship between carpal bone morphology and scaphoid fracture location." Annals of Medical Research 30, no. 3 (2023): 1. http://dx.doi.org/10.5455/annalsmedres.2022.09.296.

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Aim: Morphological variations in carpal bone may have an effect on wrist pathologies. In this study, we examined the relationship between carpal bone morphologies and scaphoid fractures. Materials and Methods: Patients with a prominent scaphoid fracture on posteroanterior and ulnar deviation X-ray were included in the study. Morphological types of lunate, hamate, capitate, presence of capitate-fourth metacarpal joint and scaphoid fracture location were documented retrospectively. A total of 68 patients, 65 (95.6%) male and 3 (4.4%) female, were included in the study. Results: Considering the s

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Gause, T. M., T. E. Moran, J. B. Carr, and D. N. Deal. "Scaphoid Waist Nonunion in an 8-Year-Old: A Rare Occurrence." Case Reports in Orthopedics 2019 (October 14, 2019): 1–5. http://dx.doi.org/10.1155/2019/4701585.

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Case. Historically, the most common pattern of pediatric scaphoid injury described is at the distal pole, which has a high rate of success with nonoperative management. Injury patterns have evolved as children are more commonly presenting with adult-type fracture patterns. We present the case of a scaphoid waist fracture in an 8-year-old male that resulted in nonunion and required surgical fixation. Conclusion. This case highlights the trend of adult pattern scaphoid fractures in the pediatric population and the utility of magnetic resonance imaging in patients who do not have complete carpal

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Bramantya Karna, Made, Anak Agung Gde Yuda Asmara, Stedi Adnyana Christian, and Dary Gunawan. "Comparative Review of Volar and Dorsal Techniques in Scaphoid Waist Fracture Fixation." International Journal of Research and Review 12, no. 6 (2025): 896–901. https://doi.org/10.52403//ijrr.202506100.

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Background: Scaphoid fractures are the most common type of carpal fractures, with the majority (approximately 70–80%) occurring at the waist region, an area with limited blood supply and high risk of non-union. Two primary approaches for internal fixation are the volar (retrograde) and dorsal (antegrade) techniques, but the optimal choice remains controversial. Objective: To evaluate the advantages and disadvantages of volar and dorsal approaches in the fixation of scaphoid waist fractures based on biomechanical, radiological, and clinical outcome data. Methods: A literature review was conduct

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Gokce, V., H. Oflaz, A. Dulgeroglu, A. Bora, and I. Gunal. "Kirschner wire fixation for scaphoid fractures: an experimental study in synthetic bones." Journal of Hand Surgery (European Volume) 36, no. 4 (2011): 325–28. http://dx.doi.org/10.1177/1753193410394525.

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We have studied the biomechanical stability in vitro of three different Kirschner (K) wire configurations in three types of simulated scaphoid waist fractures. The fractures were created with a saw in Sawbones models. There were three fracture patterns: perpendicular to the long axis of the scaphoid model; and 30° and 20° oblique to that. Two 1.2 mm. K-wires were used in each scaphoid. The three configurations were: parallel; 20° oblique; and crossing. The oblique or crossing configurations of K-wires were the most stable depending on the fracture pattern.

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Priyanshu, Priyanshu, Ankush Mohabey, Samir Dwidmuthe, Amit Surushe, and Deepanjan Das. "A Case Report Scaphoid Non-Union Management: With Dual Bone Grafting." Journal of Orthopaedic Case Reports 15, no. 7 (2025): 88–91. https://doi.org/10.13107/jocr.2025.v15.i07.5778.

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Introduction: Scaphoid non-union (SNU) is a potential complication of scaphoid fractures due to limited blood supply, primarily from the radial artery. The scaphoid’s lack of a periosteum restricts its ability to undergo efficient healing, relying solely on primary bone healing. Case Report: This case report aims to evaluate the management of SNU, particularly in waist fractures with shortening and humpback deformity. It assesses the clinical, radiographic, and functional outcomes of patients treated with bone grafting, utilizing tricalcium phosphate and cancellous bone grafts, contributing to

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Comparison of percutaneous screw fixation versus conservative treatment for fractures of the waist of scaphoid." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 1 (2024): 111–17. https://doi.org/10.5281/zenodo.15363591.

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<strong>Abstract</strong> <strong>Background:</strong> Scaphoid waist fracture is a common type of wrist fracture, accounting for 51% to 90% of wrist fractures. The aim of present study was to evaluate the effectiveness of surgical compared with conservative treatments for fractures of the waist of scaphoid. <strong>Method: </strong>A total 64 consecutive patients with fractures of the waist of scaphoid were randomly allocated to Percutaneous fixation with a cannulated Acutrak screw or immobilisation in a cast. The range of movement, grip and pinch strength, modified Green/O’Brien functi

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Patel, Samik, Juan Giugale, Nathan Tiedeken, Richard E. Debski, and John R. Fowler. "Impact of Screw Length on Proximal Scaphoid Fracture Biomechanics." Journal of Wrist Surgery 08, no. 05 (2019): 360–65. http://dx.doi.org/10.1055/s-0039-1685514.

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Background Proximal scaphoid fractures display high nonunion rates and increased revision cases. Waist fracture fixation involves maximizing screw length within the cortex; however, the optimal screw length for proximal scaphoid fractures remains unknown. Purpose The main purpose of this article is to compare stiffness and ultimate load for proximal scaphoid fracture fixation of various headless compression screw lengths. Methods Eighteen scaphoids underwent an osteotomy simulating a 7 mm oblique proximal fracture. Screws of three lengths (10, 18, and 24 mm) were randomly assigned for fixation

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Leighton, Paul A., Stephen D. Brealey, and Joseph J. Dias. "Patient experiences of scaphoid waist fractures and their treatment." Bone & Joint Open 3, no. 8 (2022): 641–47. http://dx.doi.org/10.1302/2633-1462.38.bjo-2022-0042.r1.

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Aims To explore individuals’ experience of a scaphoid waist fracture and its subsequent treatment. Methods A purposive sample was created, consisting of 49 participants in the Scaphoid Waist Internal Fixation for Fractures Trial of initial surgery compared with plaster cast treatment for fractures of the scaphoid waist. The majority of participants were male (35/49) and more younger participants (28/49 aged under 30 years) were included. Participants were interviewed six weeks or 52 weeks post-recruitment to the trial, or at both timepoints. Interviews were semistructured and analyzed inductiv

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Crepaldi, Bruno E., Cameron Keating, Eugene T. Ek, and Stephen K. Y. Tham. "Medial Femoral Trochlea Graft for Scaphoid Waist Nonunion: A Case Report and Review of the Literature." Journal of Wrist Surgery 09, no. 03 (2019): 186–89. http://dx.doi.org/10.1055/s-0039-3401015.

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AbstractThe medial femoral trochlea (MFT) of the knee is a donor site for convex osteochondral vascularized bone that has been used for the salvage of fractures of the proximal pole of the scaphoid. Chronic nonunited fractures of the scaphoid may lead to a sequence of degenerative change often referred to as scaphoid nonunion advance collapse. The vascularized MFT osteochondral graft has been reported as a salvage procedure for fractures of the proximal pole of the scaphoid, in situations where fixation is not an option. In this “Special review,” we describe the technique of free vascularized

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Bhatti, Amjad N., Stuart J. Griffin, and Sarah J. Wenham. "Deceptive appearance of normal variant of scaphoid bone in a teenage patient: a diagnostic challenge." Orthopedic Reviews 3, no. 2 (2012): 6. http://dx.doi.org/10.4081/or.2012.e6.

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Scaphoid fractures are a common injury in late teens and mid twenties with a peak period in skeletally immature children at about 15 years of age, although considered to be rare in first decade of life, its exact incidence in early teen age remains to be a subject of debate. We report an unusual case of anatomical variation of scaphoid bone at the level of waist which could potentially cause diagnostic confusion. A 14-years-old boy presented in the fracture clinic 2 weeks after injury to his Right wrist which was managed in a scaphoid cast. X-ray examinations, both at the time of injury and la

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Matson, Andrew P., Ryan M. Garcia, Marc J. Richard, Fraser J. Leversedge, J. Mack Aldridge, and David S. Ruch. "Percutaneous Treatment of Unstable Scaphoid Waist Fractures." HAND 12, no. 4 (2016): 362–68. http://dx.doi.org/10.1177/1558944716681948.

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Background: Percutaneous techniques have been described for the treatment of nondisplaced scaphoid fractures, although less information has been reported about outcomes for unstable, displaced fractures. The aim of this study was to evaluate the union and complication rates following manual closed reduction and percutaneous screw placement for a consecutive series of unstable, displaced scaphoid fractures. Methods: A total of 28 patients (average age, 27 years; 22 male/6 female) were treated for isolated unstable displaced scaphoid waist fractures. Closed reduction and percutaneous headless, c

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CHEN, S. C. "The Scaphoid Compression Test." Journal of Hand Surgery 14, no. 3 (1989): 323–25. http://dx.doi.org/10.1016/0266-7681_89_90094-6.

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A clinical test for scaphoid waist fractures is described in which the first ray is compressed longitudinally. This has the advantage that it can be done when the patient is in a plaster cast. Of 52 patients with suspected scaphoid fractures, 37 had negative tests and proved by X-rays then and later to have no fracture. 12 had positive tests and X-rays. Two patients with positive tests had fractures nearby: one of the scaphoid tuberosity and one of the radial styloid. One patient with a negative test had de Quervain’s disease. Once union has occurred, the test becomes negative.

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GÜNAL, I., V. ÖZTUNA, and S. SEBER. "Trapezio-Lunate External Fixation for Scaphoid Fractures." Journal of Hand Surgery 19, no. 6 (1994): 759–62. http://dx.doi.org/10.1016/0266-7681(94)90254-2.

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Trapezio-lunate external fixation for scaphoid fractures has been investigated experimentally and clinically. Six below-elbow fresh amputation specimens in which proximal, waist and distal scaphoid fractures were created, displaced, reduced and externally fixed were used for an experimental study and after 10,000 extension-flexion movements of the wrist, no displacement was observed. A strain-gauge study confirmed the strains at the fracture site. Seven patients were treated in this way. No immobilization was necessary and all patients returned to their regular employment within 3 days and all

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Parajuli, N. P., D. Shrestha, D. Dhoju, R. Shrestha, and V. Sharma. "Scaphoid Fracture: Functional Outcome Following Fixation with Herbert Screw." Kathmandu University Medical Journal 9, no. 4 (2012): 267–73. http://dx.doi.org/10.3126/kumj.v9i4.6342.

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Background Most scaphoid fractures though heal uneventfully with cast treatment, immobilization with cast is associated with complication like wrist stiffness. Open reduction and fixation with Herbert Screw though technically demanding procedure can yield excellent results and prevents complication like nonunions and loss of wrist function. Objectives To assess clinical outcome and radiological union of scaphoid fracture after operative management following Herbert screw fixation in patient attending Dhulikhel Hospital. Methods All scaphoid fracture, treated from Feb 2007 till Feb 2011, were r

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ADOLFSSON, L., T. LINDAU, and M. ARNER. "Acutrak Screw Fixation Versus Cast Immobilisation for Undisplaced Scaphoid Waist Fractures." Journal of Hand Surgery 26, no. 3 (2001): 192–95. http://dx.doi.org/10.1054/jhsb.2001.0558.

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Fifty-three patients with less than 14 day-old, undisplaced fractures of the waist of the scaphoid were randomized to two groups. Twenty-eight patients were treated by immobilisation in a below elbow plaster cast for 10 weeks while 25 were treated by percutaneous insertion of an Acutrak standard screw. There were no statistically significant differences between the two treatment groups with regard to either the rate of union or the time to union. Patients who underwent surgery had a significantly better range of motion at 16 weeks but there were no significant differences for grip strength. Ac

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Raszewski, Jesse A., and H. Brent Bamberger. "The Integration of Foot and Ankle Instruments to Enhance Orthopedic Hand Surgery: Technical Note." Journal of Orthopaedic Case Reports 13, no. 11 (2023): 4–8. http://dx.doi.org/10.13107/jocr.2023.v13.i11.3984.

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Introduction: The scaphoid fracture is the most common type of carpal fracture, and disruption of the proximal row of carpal bones alters wrist mechanics altering the stabilization that permits the wrist to work efficiently. When the displacement is at least 2 mm, the majority of surgeons would preferentially operatively intervene in this fracture. Non-union of the fracture will occur when left untreated. The gold standard for treatment is open reduction and internal fixation using autologous bone graft. This case report is the first to describe the integration of the Hintermann™ Distractor, u

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Nacif, Gustavo Chaves, Fernando Moises Jose Pedro, Vinicius Ynoe de Moraes, Marcela Fernandes, and João Carlos Bellot. "HOW SCAPHOID FRACTURES ARE TREATED IN BRAZIL." Acta Ortopédica Brasileira 26, no. 5 (2018): 290–93. http://dx.doi.org/10.1590/1413-785220182605184659.

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ABSTRACT Objective: To verify how hand surgeons manage scaphoid fractures and their complications. Methods: Two hundred questionnaires were distributed during the 36th Brazilian Hand Surgery Congress (2016). Results: On suspicion of fracture without radiographic confirmation, 57% of surgeons request a CT or MRI scan, while 43% opt for immobilization and consecutive radiographs. In stable fractures the preference was for treatment with plaster cast. In fractures with no scaphoid waist displacement, 33% opt for percutaneous fixation. In displaced waist or proximal pole fractures, 66% and 99.4%,

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Tataria, Rachana, Jeannette Ting, Andrea Jester, Tommy R. Lindau, and Kerstin Oestreich. "Scaphoid Fractures below the Age of 10: Case Series and Review of the Literature." Journal of Wrist Surgery 9, no. 06 (2020): 458–64. http://dx.doi.org/10.1055/s-0040-1713800.

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Abstract Background Scaphoid fractures are relatively uncommon in children, especially below the age of 10 due to the ossification of the scaphoid bone, which starts around 4 to 6 years of age and continues until 13 to 15 years of age, where pediatric scaphoid fractures peak. This makes the diagnoses challenging in this age group. Methods The primary aim of this study was to analyze prospectively collected data in managing scaphoid fractures. All cases in children up to the age of 10 years, treated in a tertiary pediatric hand and upper limb from January 2014 to June 2018 were included. Parame

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Reider, Bruce, Jeffrey Yurkofsky, and Daniel Mass. "Scaphoid waist fracture in a weight lifter." American Journal of Sports Medicine 21, no. 2 (1993): 329–31. http://dx.doi.org/10.1177/036354659302100228.

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Hughes, Thomas B. "Acute Scaphoid Waist Fracture in the Athlete." Clinics in Sports Medicine 39, no. 2 (2020): 339–51. http://dx.doi.org/10.1016/j.csm.2019.12.007.

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Soubeyrand, M., L. Thomsen, L. Doursounian, O. Gagey, and G. Nourissat. "Percutaneous retrograde screw fixation of non-displaced fractures of the scaphoid waist: an antirotation wire may not be necessary." Journal of Hand Surgery (European Volume) 35, no. 3 (2009): 209–13. http://dx.doi.org/10.1177/1753193409355736.

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Some authors recommend using an antirotation wire when performing percutaneous screw fixation of acute non-displaced scaphoid waist fractures. The aim of this study of 21 cadaveric wrists was to assess the usefulness of such a wire in Herbert’s B2-type fractures. A B2-type fracture was created experimentally on each scaphoid. An antirotation wire was inserted in eight wrists. Retrograde percutaneous fixation using a double-threaded headless cannulated screw was performed on all wrists. Computed tomography was used to measure interfragmentary rotation. No interfragmentary rotation was noted in

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Keerio, Niaz Hussain, Muhammad Shuaib Chandio, Sajjad Hussain Bhatti, Zulfiqar Ali Jatoi, Farukh Hussain, and Dost Muhammad Sohu. "Functional Outcomes of Fixation of the Scaphoid Fracture with Herbert Screw: A Cross-Sectional Study." Pakistan Journal of Medical and Health Sciences 17, no. 2 (2023): 366–68. http://dx.doi.org/10.53350/pjmhs2023172366.

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Objective: The present study aims at the assessment of the radiological union and clinical outcomes of scaphoid fracture followed by fixation by Herbert Screw. Study design: A cross-sectional study Place and Duration: This study was conducted Muhammad Medical College and Hospital Mirpurkhas from may 2021 to may 2022 Methodology: A total of 20 patients were included in the study and all of them had sustained a scaphoid fracture. All of them were treated with Herbert screw fixation. Overall 18 of them were male and 2 were female. Serial radiographs were obtained for the assessment of union and t

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Mujtaba, Ahmad, Chakraverty Pradyumna, Vardhan Binaykia Harsh, Bikash Hazra Bimalendu, and Mukherjee Jayanta. "A Prospective Assessment of the Role of Operative Versus NonOperative Treatment for Acute Undisplaced or Minimally Displaced Scaphoid Fractures in Adults." International Journal of Pharmaceutical and Clinical Research 14, no. 4 (2022): 37–43. https://doi.org/10.5281/zenodo.13834707.

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<strong>Aim: </strong>To evaluate the effects of operative versus non-operative treatment for acute undisplaced or minimally displaced scaphoid fractures in adults. <strong>Material & Method: </strong>A prospective cohort study of all patients presenting to our OPD/ Casualty with a suspected or confirmed injury to the scaphoid was conducted over a period of 2 years. The initial radiologic examination of the wrist included poster anterior, lateral view, scaphoid view, oblique (45 deg. Pronation) view of the wrist. If the radiology reveals no fracture, wrist was immobilized wi

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El-Sallakh, Sameh, Weam Mousa, and Tarek Aly. "INTERCALATED BONE PEG IN THE TREATMENT OF NON-UNITED SCAPHOID FRACTURES." Hand Surgery 18, no. 01 (2013): 27–33. http://dx.doi.org/10.1142/s0218810413500056.

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Introduction: Untreated ununited scaphoid fractures will almost inevitably progress to radiographic and symptomatic osteoarthritis of the wrist. This may lead to subsequent morbidity and lifelong disability especially in young males in which the fracture scaphoid is more common. Patients and methods: Twenty-one patients presenting non-united fracture scaphoid were operated upon by using disto-proximal bone peg technique with average time between injury and operation as 11 months (6–18 months). All of them male with average age of 26 years (17–35 years). There were 17 patients with fracture wai

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Lin, Ting-Sheng, Ching-Hou Ma, Chin-Hsien Wu, Cheng-Yo Yen, I.-Ming Jou, and Yuan-Kun Tu. "Biomechanical Comparison of Different Volar Screw Placements for Horizontal Oblique Scaphoid Fractures." Applied Sciences 10, no. 23 (2020): 8592. http://dx.doi.org/10.3390/app10238592.

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Recently, some surgeons reported that most scaphoid waist fractures were horizontal oblique and not transverse in orientation. Therefore, this cadaveric study aimed to biomechanically compare fixation strength between central and eccentric screw placements for the volar fixation of this most common scaphoid waist fracture. Eight matched pairs of fresh-frozen forearm cadaver specimens were prepared for testing and randomly assigned to two groups: group I specimens were fixed by screws in a central placement, and group II specimens were fixed by screws in an eccentric placement. Horizontal obliq

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Miyamura, Satoshi, Jonathan Lans, Janice J. He, Tsuyoshi Murase, Jesse B. Jupiter, and Neal C. Chen. "Bone density measurements from CT scans may predict the healing capacity of scaphoid waist fractures." Bone & Joint Journal 102-B, no. 9 (2020): 1200–1209. http://dx.doi.org/10.1302/0301-620x.102b9.bjj-2020-0169.r2.

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Aims We quantitatively compared the 3D bone density distributions on CT scans performed on scaphoid waist fractures subacutely that went on to union or nonunion, and assessed whether 2D CT evaluations correlate with 3D bone density evaluations. Methods We constructed 3D models from 17 scaphoid waist fracture CTs performed between four to 18 weeks after fracture that did not unite (nonunion group), 17 age-matched scaphoid waist fracture CTs that healed (union group), and 17 age-matched control CTs without injury (control group). We measured the 3D bone density for the distal and proximal fragme

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Anshu, Anand, and Kumar Manav Ajoy. "A Prospective Single Centre Study to Examine the Differences Between the Outcomes of Operation Fixation of Acute Scaphoid Fractures and Those of Non-Operative Therapy." International Journal of Toxicological and Pharmacological Research 11, no. 4 (2021): 53–59. https://doi.org/10.5281/zenodo.12661732.

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<strong>Aim:</strong> To compare the results of operative fixation of acute scaphoid fractures with those of non-operative treatment. <strong>Materials & Method:</strong> This clinical study was carried out among 26 patients with an acute nondisplaced or minimally displaced scaphoid fracture reported to the OPD of Department of Orthopaedics, Patna Medical College and Hospital, Patna, Bihar, India. Patients were non-randomly allocated to group A (non-operative treatment with a cast) and group B (internal fixation with a Herbert screw). <strong>Results:</strong> mean

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Prabhakar, Pooja, Lauren Wessel, Joseph Nguyen, Jeffrey Stepan, Michelle Carlson, and Duretti Fufa. "Factors Associated with Scaphoid Nonunion following Early Open Reduction and Internal Fixation." Journal of Wrist Surgery 09, no. 02 (2020): 141–49. http://dx.doi.org/10.1055/s-0039-3402769.

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Abstract Background Nonunion after open reduction and internal fixation (ORIF) of scaphoid fractures is reported in 5 to 30% of cases; however, predictors of nonunion are not clearly defined. Objective The purpose of this study is to determine fracture characteristics and surgical factors which may influence progression to nonunion after scaphoid fracture ORIF. Patients and Methods We performed a retrospective case–control study of scaphoid fractures treated by early ORIF between 2003 and 2017. Inclusion criteria were surgical fixation within 6 months from date of injury and postoperative CT w

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Oron, Amir, Amitava Gupta, and Sunil Thirkannad. "NONUNION OF THE SCAPHOID DISTAL POLE." Hand Surgery 18, no. 01 (2013): 35–39. http://dx.doi.org/10.1142/s0218810413500068.

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This study was undertaken to determine the incidence of and assess factors affecting nonunion of scaphoid distal pole fractures. A total of 193 established scaphoid nonunions were treated in our clinics between the years 1999 and 2004; of which, eight cases involved the distal pole of the scaphoid. These were further analyzed to determine factors that may have contributed to the development of nonunion. This study reveals that distal pole nonunions account for 4.1% of all scaphoid nonunions. We found inadequate initial treatment to be the cause for nonunion in 63% of patients. Type IIC fractur

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Grewal, Ruby, Nina Suh, and Joy C. MacDermid. "Is Casting for Non-Displaced Simple Scaphoid Waist Fracture Effective? A CT Based Assessment of Union." Open Orthopaedics Journal 10, no. 1 (2016): 431–38. http://dx.doi.org/10.2174/1874325001610010431.

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Objective: The purpose of this study is to report the union rate and time to union for acute non-displaced scaphoid waist fractures treated with a short arm thumb spica cast. Methods: A database was searched (2006-2013) to identify acute undisplaced scaphoid waist fractures. Cases that were not given a trial of casting were excluded (n=33). X-rays, CT scans and health records for each patient were reviewed to extract data. Results: 172 patients met inclusion criteria. There were 138 males, 34 females, the mean age was 30 ± 16 years. The union rate was 99.4% (1 nonunion/172 subjects). The mean

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APERGIS, E., S. DARMANIS, G. KASTANIS, and A. PAPANIKOLAOU. "Does the Term Scaphocapitate Syndrome Need to be Revised? A Report of 6 Cases." Journal of Hand Surgery 26, no. 5 (2001): 441–45. http://dx.doi.org/10.1054/jhsb.2001.0589.

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This is a retrospective study of six patients with displaced fractures of the neck of the capitate. In four of the six patients the diagnosis was delayed by at least 1 week. After open reduction and internal fixation the results were assessed as excellent (three cases), fair (two cases) or poor (one case). In all cases there was a concomitant injury to the radial side of the wrist: in four cases this was a fracture of the waist of the scaphoid. In five of the six cases there was also an injury to the ulnar side of the wrist. As a scaphoid fracture does not always occur with the fracture of the

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Abhas, Kumar, Gaurav Kumar, Kumar Manish, and Sinha N.P. "A Non-randomized Clinical Trial Comparing the Results of Surgical and Non-Surgical Scaphoid Fracture Treatment." International Journal of Pharmaceutical and Clinical Research 13, no. 4 (2021): 312–18. https://doi.org/10.5281/zenodo.14228907.

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<strong>Aim:</strong> To evaluate the outcome of operative fixation of acute scaphoid fractures with those of non-operative treatment. <strong>Materials & Method:</strong> This clinical study was carried out among 26 patients with an acute nondisplaced or minimally displaced scaphoid fracture reported to the OPD of Department of Orthopedics Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar, India. Patients were non-randomly allocated to group A (non-operative) and group B (operative). <strong>Results:</strong> The average age of the participants in the s

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Megerle, K. "Displaced fracture of the waist of the scaphoid." Yearbook of Hand and Upper Limb Surgery 2012 (January 2012): 81–82. http://dx.doi.org/10.1016/j.yhls.2012.05.015.

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Dias, J. J., and H. P. Singh. "Displaced fracture of the waist of the scaphoid." Journal of Bone and Joint Surgery. British volume 93-B, no. 11 (2011): 1433–39. http://dx.doi.org/10.1302/0301-620x.93b11.26934.

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