Abstract
Fractures of the scaphoid are current, especially in young men, and represent 70–80 % of the traumas of the carpus. The large majority concerns the scaphoid waist, which is narrower and more fragile than the other parts of the bone.
The injury is most often caused by a trauma in compression/shearing during the hyperextension of the wrist combined with a radial or ulnar inclination, which explains the wide variety of fractures we can find.
Their consolidation is difficult because of the important constraints imposed on the scaphoid and its precarious vascularization (especially in its proximal part).
The efficiency of the treatment depends on an early diagnosis that avoids evolution towards a degenerative wrist (or scaphoid nonunion advanced collapse wrist).
Rehabilitation must improve mobility and strength without compromising the healing process, which remains the priority. After consolidation, reinforcing the flexor carpi radialis is an important element of treatment as it stabilizes efficiently the scaphoid, opposing to the palmar displacement of its distal part.
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Mesplié, G., Grelet, V. (2015). Recent Fractures of the Scaphoid Bone. In: Hand and Wrist Rehabilitation. Springer, Cham. https://doi.org/10.1007/978-3-319-16318-5_3
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DOI: https://doi.org/10.1007/978-3-319-16318-5_3
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