Operative Treatment of Acute Scaphoid Fractures

Abstract

Optimal treatment of acute scaphoid fractures is a necessary goal for many reasons. One is that the scaphoid is the most commonly fractured carpal bone. Another is that a missed diagnosis of an acute scaphoid fracture leads to the more challenging situation of a delayed union, non-union and risk for premature radiocarpal arthrosis. Because the scaphoid has an inherent risk for nonunion due to its the tenuous blood supply, timely diagnosis and appropriate treatment are considered critical to achieving acceptable results and to avoiding the consequences of failed union.

Scaphoid Fracture Reconstruction with Rib Autograft: Case Report and Literature Review

“…visų rankos kaulų lūžių ir apie 55-80 proc. riešakaulių lūžių) [2,3,[6][7][8][9][10][11][12][13][14][15][16]. Laivelio lūžių dažniausiai patiria darbingo amžiaus (15-30 m.) žmonės, dažniau vyrai [6,17].…”

“…Nesugiję laivelio lūžiai lemia plaštakos funkcijos sutrikimus, skausminį sindromą, asmens nedarbingumą ir, tikėtina, ankstyvą osteoartrozės vystymąsi [19]. Dėl šių veiksnių ankstyvoji laivelio lūžių diagnostika ir tinkamas gydymas yra vieni iš svar biausių faktorių, lemiančių palankius gydymo rezultatus [7,17].…”

The Snuffbox: The Effect of Smokeless Tobacco Use on Scaphoid Fracture Healing

“…1,3 However, owing to the scaphoid's tenuous blood supply, surgical treatment may be required to avoid common complications, such as nonunion. 1,4 Aside from nonunion, other complications include osteonecrosis, pseudoarthrosis, arthrosis, and collapse of the carpal joint. 3 These complications can be linked to many risk factors including smoking, diabetes, or other comorbidities.…”

“…1,3 However, owing to the scaphoid's tenuous blood supply, surgical treatment may be required to avoid common complications, such as nonunion. 1,4…”