Scaphoid malunion

Amadio, Peter C.; Berquist, Thomas H.; Smith, Douglas K.; Ilstrup, Duane M.; Cooney, William P.; Linscheid, Ronald L.

doi:10.1016/0363-5023(89)90191-3

Cited by 458 publications

(268 citation statements)

References 23 publications

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“…5), 24°( range, 22-32°) of radial deviation, and 34°(range, 30-38°) of ulnar deviation. According to the Mayo wrist score system [13] the functional results were excellent for 27 patients, good for four patients, and fair for one patient. Fracture union was achieved in all by the time of the visit at 12 weeks.…”

Section: Resultsmentioning

confidence: 97%

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Percutaneous fixation of selected scaphoid fractures by dorsal approach

Naranje

Kotwal

Shamshery

et al. 2009

International Orthopaedics (SICOT)

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The aim of our study was to evaluate clinical, radiological and functional outcomes of selected cases of percutaneous fixation of scaphoid fractures via a dorsal approach. Percutaneous fixation by dorsal approach was done in 32 patients (mean age 32.2 years) involving both fresh and late scaphoid fracture presentations (mean 17 days). Fourteen cases of B1 type, ten cases of B2 and eight cases of C type (Herbert's classification) were treated. The patients were prospectively followed up clinically and radiologically for a minimum follow-up of 14 months (mean 16 months), and functional outcome and complications were assessed. All fractures united over an average of nine weeks. There was no avascular necrosis or screw cutout with preservation of wrist movement and grip strength. There were no injuries to any at risk anatomical structures. Percutaneous fixation of scaphoid fractures through dorsal approach gives good clinical and functional outcome in acute and chronic scaphoid fractures of B1, B2 and C types (Herbert's classification).

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Section: Resultsmentioning

confidence: 97%

“…Functional outcome assessment based on the Mayo wrist scoring system [13] was performed. Plain radiographs of posteroanterior and lateral views were obtained for each case.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Naranje

Kotwal

Shamshery

et al. 2009

International Orthopaedics (SICOT)

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“…Postoperative Mayo wrist scores (score of 100-90 is excellent, 89-80 is good, 79-65 is fair, and less than 65 is poor) were calculated from the patients' charts [1].…”

Section: Methodsmentioning

confidence: 99%

Outcomes after Radiocarpal Dislocation: A Retrospective Review

Yuan

Dennison

Elhassan

et al. 2015

Hand (New York, N,Y.)

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Background Radiocarpal dislocations are rare, high-energy injuries. High morbidity and poor functional outcomes are common. Currently, there is limited data on functional outcomes following treatment of this injury. Methods A retrospective review was conducted analyzing the radiographic and clinical outcome of patients treated for a radiocarpal dislocation from 1979 to 2010. Outcome assessments included wrist range of motion, grip strength, Mayo wrist score, patient-rated wrist evaluation (PRWE), and disabilities of the arm, shoulder and hand (DASH) score. Statistical analysis was performed with the Student's t test. Results Twenty-six patients (26 wrists) were treated for a radiocarpal dislocation during the study period; 23 wrists were treated acutely (within 4 weeks of injury), and 3 were treated after a delayed presentation (>4 weeks). Clinical follow-up of more than 6 months was available in 17 patients. Three patients (12 %) underwent primary fusion as initial treatment (two radioscapholunate fusion; one total wrist fusion). Four wrists (24 %) failed initial treatment and were salvaged with scapholunate ligament reconstruction (one wrist) or partial wrist fusion (three wrists). Seventeen patients completed PRWE and DASH questionnaires with a mean of 14.6 years following surgery (range 2-32 years). Subjective outcomes tended to be superior in those patients treated with ligament reconstruction versus partial or complete wrist fusion; however, comparisons were not statistically significant. Conclusion Radiocarpal dislocations result in significant osseous and ligamentous injury to the distal radius and carpus. Early recognition and treatment of radiocarpal dislocations with open reduction, internal fixation, and repair of ligaments may result in improved long-term functional outcomes when compared to acute partial or complete wrist arthrodesis.

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“…Classic management includes thumb spica immobilization of suspected scaphoid fractures during this time period [3,8]. This may not be ideal in high level athletes and some authors have advocated early use of advanced imaging modalities, computed tomography (CT), or magnetic resonance imaging (MRI), to expedite diagnosis and treatment [1, [8][9][10].…”

Section: Scaphoid Fracturementioning

confidence: 99%

Sports injuries of the wrist

Fufa

Goldfarb

2012

Curr Rev Musculoskelet Med

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Sports injuries involving the hand and wrist are common and, as a result, many different practitioners (athletic trainers, physical therapists, primary care physicians, general orthopedic surgeons) will encounter these injuries. In addition to thorough evaluation, an understanding of typical pathologies seen in the athlete enhances diagnosis and facilitates appropriate, expedient management. These injuries are complex because they can be either acute traumatic or repetitive in origin and often involve both the bony skeleton and soft tissues. This article provides a review of athletic injuries to the wrist with particular focus on physical evaluation and management of the most common and challenging fractures and soft tissue injuries.

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Scaphoid malunion

Cited by 458 publications

References 23 publications

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Outcomes after Radiocarpal Dislocation: A Retrospective Review

Sports injuries of the wrist

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