Scaphoid fracture and scaphoid pseudarthrosis

1999 ◽  
Vol 28 (10) ◽  
pp. 883-890 ◽  
Author(s):  
A. Eisenschenk ◽  
M. Lautenbach ◽  
U. Weber
Keyword(s):  
Scaphoid Fracture ◽  
Scaphoid Pseudarthrosis

scholarly journals Vascularized Bone Autoplasty with Graft from Medial Femoral Epicondyle in Scaphoid Pseudarthrosis

2014 ◽  
pp. 40-44 ◽  
Author(s):  
I. O. Golubev ◽  
R. V. Yulov ◽  
O. M. Bushuev ◽  
M. V. Merkulov ◽  
I. A. Kutepov ◽  
...  
Keyword(s):  
Avascular Necrosis ◽  
Scaphoid Fracture ◽  
Proximal Fragment ◽  
Average Force ◽  
Angle Correction ◽  
One Year ◽  
Dorsal Intercalated Segment Instability ◽  
Bone Autograft ◽  
Scaphoid Pseudarthrosis ◽  
Vascularized Bone

Nineteen patients (16 - 49 years) with scaphoid pseudarthrosis were treated using vascularized bone autograft from medial femoral epicondyle. Mean term since scaphoid fracture made up 30.5 ± 21.2 months. In all cases avascular necrosis of the proximal fragment, scaphoid humpbach deformity and dorsal intercalated segment instability (DISI) were present. In 16 (84.2%) consolidation in the zone of scaphoid pseudarthrosis was achieved at terms from 8 to 12 weeks after operation. In 3 (15.8%) unsatisfactory results were observed. Average scapholunate angle correction made up 13°. Average force of feast and pinch grasps increased on the average by 2.5 and 1.5 times, respectively. One year after surgery the average estimation by DASH scale decreased by 9.6 points at average, from 27 to 13.4 points.

scholarly journals Vascularized Bone Autoplasty with Graft from Medial Femoral Epicondyle in Scaphoid Pseudarthrosis

2014 ◽  
Vol 21 (3) ◽  
pp. 40-44
Author(s):  
I. O Golubev ◽  
R. V Yulov ◽  
O. M Bushuev ◽  
M. V Merkulov ◽  
I. A Kutepov ◽  
...  
Keyword(s):  
Avascular Necrosis ◽  
Scaphoid Fracture ◽  
Proximal Fragment ◽  
Average Force ◽  
Angle Correction ◽  
One Year ◽  
Dorsal Intercalated Segment Instability ◽  
Bone Autograft ◽  
Scaphoid Pseudarthrosis ◽  
Vascularized Bone

Nineteen patients (16 - 49 years) with scaphoid pseudarthrosis were treated using vascularized bone autograft from medial femoral epicondyle. Mean term since scaphoid fracture made up 30.5 ± 21.2 months. In all cases avascular necrosis of the proximal fragment, scaphoid humpbach deformity and dorsal intercalated segment instability (DISI) were present. In 16 (84.2%) consolidation in the zone of scaphoid pseudarthrosis was achieved at terms from 8 to 12 weeks after operation. In 3 (15.8%) unsatisfactory results were observed. Average scapholunate angle correction made up 13°. Average force of feast and pinch grasps increased on the average by 2.5 and 1.5 times, respectively. One year after surgery the average estimation by DASH scale decreased by 9.6 points at average, from 27 to 13.4 points.

Is Insurance Status a Predictor for the Development of Nonunion Following Scaphoid Fracture?

2015 ◽  
Vol 04 (S 02) ◽  
Author(s):  
Amy Fenoglio ◽  
Daniel Bohl ◽  
Raj Gala ◽  
Seth Dodds
Keyword(s):  
Scaphoid Fracture ◽  
Insurance Status

Quality Assessment of Health Information about Scaphoid Fracture in Chinese Websites (Preprint)

2019 ◽  
Author(s):  
Yaobin Yin ◽  
Jianguang Ji ◽  
Peng Lu ◽  
Wenyao Zhong ◽  
Liying Sun ◽  
...  
Keyword(s):  
Social Networks ◽  
Health Information ◽  
Search Engines ◽  
Medical Information ◽  
Scaphoid Fracture ◽  
Family Members ◽  
Online Information ◽  
Specific Content ◽  
The Mean

BACKGROUND With online health information becoming increasingly popular among patients and their family members, concerns have been raised about the accuracy from the websites. OBJECTIVE We aimed to evaluate the overall quality of the online information about scaphoid fracture obtained from Chinese websites using the local search engines. METHODS We conducted an online search using the keyword “scaphoid fracture” from the top 5 search engines in China, i.e. Baidu, Shenma, Haosou, Sougou and Bing, and gathered the top ranked websites, which included a total of 120 websites. Among them, 81 websites were kept for further analyses by removing duplicated and unrelated one as well as websites requiring payment. These websites were classified into four categories, including forum/social networks, commercials, academics and physician’s personals. Health information evaluation tool DISCERN and Scaphoid Fracture Specific Content Score (SFSCS) were used to assess the quality of the websites. RESULTS Among the 81 Chinese websites that we studied, commercial websites were the most common one accounting more than half of all websites. The mean DISCERN score of the 81 websites was 25.56 and no website had a score A (ranging from 64 to 80).The mean SFSCS score was 10.04 and no website had a score A (range between 24 and 30). In addition, DISCERN and SFSCS scores from academic and physician’s websites were significantly higher than those from the forum/social networks and commercials. CONCLUSIONS The overall quality of health information obtained from Chinese websites about scaphoid fracture was very low, suggesting that patients and their family members should be aware such deficiency and pay special attentions for the medical information obtained by using the current search engines in China.

scholarly journals Factors Associated with Scaphoid Nonunion following Early Open Reduction and Internal Fixation

2020 ◽  
Vol 09 (02) ◽  
pp. 141-149
Author(s):  
Pooja Prabhakar ◽  
Lauren Wessel ◽  
Joseph Nguyen ◽  
Jeffrey Stepan ◽  
Michelle Carlson ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Scaphoid Fracture ◽  
Receiver Operating Curve ◽  
Scaphoid Nonunion ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Fracture Location ◽  
Scaphoid Fractures ◽  
Time From Injury

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 with minimum clinical follow-up of 6 months to evaluate healing. Forty-eight patients were included in this study. Nonunion cases were matched by age, sex, and fracture location to patients who progressed to fracture union in the 1:2 ratio. Results This series of 48 patients matched 16 nonunion cases with 32 cases that progressed to union. Fracture location was proximal pole in 15% (7/48) and waist in 85% (41/48). Multivariate regression demonstrated that shorter length of time from injury to initial ORIF and smaller percent of proximal fracture fragment volume were significantly associated with scaphoid nonunion after ORIF (63 vs. 27 days and 34 vs. 40%, respectively). Receiver operating curve analysis revealed that fracture volume below 38% and time from injury to surgery greater than 31 days were associated with nonunion. Conclusion Increased likelihood for nonunion was found when the fracture was treated greater than 31 days from injury and when fracture volume was less than 38% of the entire scaphoid. Level of Evidence This is a Level III, therapeutic study.

Scaphoid fracture epidemiology

2012 ◽  
Vol 72 (2) ◽  
pp. E41-E45 ◽  
Author(s):  
Andrew D. Duckworth ◽  
Paul J. Jenkins ◽  
Stuart A. Aitken ◽  
Nicholas D. Clement ◽  
Charles M. Court-Brown ◽  
...  
Keyword(s):  
Scaphoid Fracture

scholarly journals Using a tightRope® to treat a complex fracture of the trapezium

2014 ◽  
Vol 96 (7) ◽  
pp. e36-e38 ◽  
Author(s):  
ME Shenouda ◽  
A Mohan ◽  
T Sarkhel
Keyword(s):  
Functional Recovery ◽  
Index Finger ◽  
Scaphoid Fracture ◽  
Percutaneous Fixation ◽  
Complex Fracture ◽  
Trapezium Fracture

We present the case of a 23-year-old man with a combined scaphoid fracture and comminuted trapezium fracture, treated surgically with percutaneous fixation of the scaphoid fracture and concomitant Arthrex Mini TightRope® stabilisation of base of thumb metacarpal to base of index finger metacarpal. The patient made a good functional recovery, returning to usual activities within six weeks. We suggest that this technique could be used to treat complex trapezium fractures that cannot be reconstructed with surgery.

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