Published in:
01-09-2013 | Case Reports
Symptomatic extra-articular scaphoid tuberosity nonunion: surgical excision of the ununited fragment after failed nonoperative management
Authors:
Lorenzo Garagnani, Nina Muirhead
Published in:
HAND
|
Issue 3/2013
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Excerpt
Scaphoid fractures are the commonest fractures of the carpus [
2], accounting for 60–70 % of carpal fractures; they most commonly affect young men following a fall on the outstretched hand [
8], with forced dorsiflexion of the wrist, particularly during sports [
5]. The management of scaphoid fractures falls into two general categories: nonoperative or surgical management. Nonoperative management with immobilisation in a cast or splint is commonly used for stable, undisplaced waist or tubercle fractures (Herbert type A). Surgical treatment by means of percutaneous or open fixation, with or without bone grafting, is used for unstable, displaced or ununited fractures (Herbert types B, C and D) [
5]. …