Segmental fracture of the scaphoid: report of a rare fracture pattern

Abstract

Scaphoid fracture patterns are generally consistent and predictable, occurring most commonly through the waist of the bone. Mechanism for injury is thought to be hyperextension of the wrist. Comminution, with or without a butterfly fragment, is occasionally seen, as are simultaneous tuberosity fractures. We suggest that the mechanism in this case may have been multiple or secondary trauma, or an effect of loaded rotation. We highlight the need for careful imaging of the scaphoid bone prior to choosing treatment.

Segmental fracture of the scaphoid

“…In the case by da Assunção et al , the fracture pattern was identified as segmental only intraoperatively 31. The fracture was fixed with a single Herbert screw and union was achieved 12 months postoperatively.…”

Rare Case of Open Comminuted Scaphoid Fracture Dislocation: Treatment With Free Bone Graft and Locking Plate

“…Scaphoid fractures are relatively common, while comminuted and segmental fractures are less commonly reported [1][2][3]. Furthermore, to the best of our knowledge, there are no reports in the literature of an open comminuted scaphoid fracture dislocation.…”