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Scaphoid Fracture

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Fracture Reduction and Fixation Techniques

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Abstract

60% of scaphoid fractures affect the modestly supplied scaphoid waist; 15% involve the scarcely supplied proximal and densely supplied distal third; and 10% involve the tuberculum ossis scaphoidei. Because of its peculiar blood supply and the fact that more than two-thirds of the scaphoid bone is covered by articular cartilage, fractures are at high risk of delayed union or nonunion. For scaphoid fractures with any pathologic angulation, displacement, or carpal malalignment, arthroscopic-assisted or open reduction and fixation are recommended if any concerns exist regarding fracture stability. The following article demonstrates all steps from preoperative planning, patient set-up in theatre, closed and open reduction manoeuvres to the open dorsal and volar approaches for proximal pole scaphoid fractures and followed insertion of the commonly used cannulated titan double-threaded compression screw extensively.

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References

  1. Schmitt R, Lanz U. Bildgebende Diagnostik der Hand. Stuttgart, Germany: Thieme; 2013.

    Google Scholar 

  2. Taleisnik J. Fractures of the carpal bones. In: Green DP, editor. Operative hand surgery, vol. 2. New York: Churchill Livingstone; 1988. p. 813–40.

    Google Scholar 

  3. Reigstad O, Grimsgaard C, Thorkildsen R, et al. Scaphoid non-unions, where do they come from? The epidemiology and initial presentation of 270 scaphoid non-unions. Hand Surg. 2012;17(3):331–5. https://doi.org/10.1142/S0218810412500268.

    Article  PubMed  Google Scholar 

  4. Slutsky DJ, Slade JFIII. The scaphoid. Stuttgart: Thieme; 2010.

    Google Scholar 

  5. Duckworth AD, Ring D. Carpus fractures and dislocations. In: Court-Brown CM, Heckmann JD, McQueen MM, et al., editors. Rockwood and Green’s fractures in adults, vol. 1. Philadelphia: Wolters Kluwer; 2015. p. 1008–9.

    Google Scholar 

  6. Herbert TJ, Fisher WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br. 1984;66(1):114–23.

    Article  CAS  PubMed  Google Scholar 

  7. Duckworth AD, Ring D. Carpus fractures and dislocations. In: Court-Brown CM, Heckmann JD, McQueen MM, et al., editors. Rockwood and Green’s fractures in adults, vol. 1. Philadelphia: Wolters Kluwer; 2015. p. 1010–7.

    Google Scholar 

  8. Sugathan HK, Kilpatrick M, Joyce TJ, et al. A biomechanical study on variation of compressive force along the Acutrak 2 screw. Injury. 2012;43(2):205–8. https://doi.org/10.1016/j.injury.2011.07.011.

    Article  PubMed  Google Scholar 

  9. Beadel GP, Ferreira L, Johnson JA, et al. Interfragmentary compression across a simulated scaphoid fracture—analysis of 3 screws. J Hand Surg [Am]. 2004;29(2):273–8.

    Article  Google Scholar 

  10. Oduwole KO, Cichy B, Dillon JP, et al. Acutrak versus Herbert screw fixation for scaphoid non-union and delayed union. J Orthop Surg. 2012;20(1):61–5.

    Article  Google Scholar 

  11. Trumble TE, Clarke T, Kreder HJ. Non-union of the scaphoid. Treatment with cannulated screws compared with treatment with Herbert screws. J Bone Joint Surg Am. 1996;78(12):1829–37.

    Article  CAS  PubMed  Google Scholar 

  12. Duckworth AD, Ring D. Carpus fractures and dislocations. In: Court-Brown CM, Heckmann JD, McQueen MM, et al., editors. Rockwood and Green’s fractures in adults, vol. 1. Philadelphia: Wolters Kluwer; 2015. p. 1019–25.

    Google Scholar 

  13. Slade JFIII, Jaskwhich D. Percutaneous fixation of scaphoid fractures. Hand Clin. 2001;17(4):553–74.

    PubMed  Google Scholar 

  14. Dias JJ, Singh HP. Displaced fracture of the waist of the scaphoid. J Bone Joint Surg Br. 2011;93(11):1433–9. https://doi.org/10.1302/0301-620X.93B11.26934.

    Article  PubMed  CAS  Google Scholar 

  15. Vinnars B, Pietreanu M, Bodestedt A, et al. Nonoperative compared with operative treatment of acute scaphoid fractures. A randomized clinical trial. J Bone Joint Surg Am. 2008;90(6):1176–85. https://doi.org/10.2106/JBJS.G.00673.

    Article  PubMed  Google Scholar 

  16. Sauerbier M, Schaedel-Hoepfner M, Mehling IM. Die Behandlung der frischen Skaphoidfraktur. Handchirurgie Scan. 2013;2(4):313–33. https://doi.org/10.1055/s0033-1359021.

    Article  Google Scholar 

  17. Adamany DC, Mikola EA, Fraser BJ. Percutaneous fixation of the scaphoid through a dorsal approach: an anatomic study. J Hand Surg [Am]. 2008;33(3):327–31. https://doi.org/10.1016/j.jhsa.2007.12.006.

    Article  Google Scholar 

  18. Geurts G, van Riet R, Meermans G, et al. Incidence of scaphotrapezial arthritis following volar percutaneous fixation of nondisplaced scaphoid waist fractures using a transtrapezial approach. J Hand Surg [Am]. 2011;36(11):1753–8. https://doi.org/10.1016/j.jhsa.2011.08.031.

    Article  Google Scholar 

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Authors and Affiliations

  1. Dept. of Trauma, Hand and Reconstructive Surgery, University of Rostock, Medical Center, Rostock, Germany

    Anica Herlyn & Alice Wichelhaus

Authors
  1. Anica Herlyn
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  2. Alice Wichelhaus
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Correspondence to Anica Herlyn .

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Editors and Affiliations

  1. School of Medicine, University of Leeds, Leeds, Yorkshire, UK

    Peter V. Giannoudis

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Herlyn, A., Wichelhaus, A. (2018). Scaphoid Fracture. In: Giannoudis, P. (eds) Fracture Reduction and Fixation Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-68628-8_25

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  • DOI: https://doi.org/10.1007/978-3-319-68628-8_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68627-1

  • Online ISBN: 978-3-319-68628-8

  • eBook Packages: MedicineMedicine (R0)

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