If you have wrist pain following a perceived minor injury, why should you get an x-ray?

posted 9/18/11 in Scaphoid Fracture and Nonunion

Treatment of acute scaphoid fracture

posted 10/2/11 in Scaphoid Fracture and Nonunion

Fractures of the scaphoid, a bone in your wrist, are not to be taken lightly. Most of the time, a broken bone is obvious. The area around the break may be painful, swollen or deformed. But sometimes a bone can break without your realizing it. That can happen to the...

Surgery for Scaphoid Nonunion with Humpback deformity

posted 9/21/10 in Scaphoid Fracture and Nonunion

Scaphoid nonunion may result in a so-called "hump back" deformity when the scaphoif flexes at the nonunion, and carpal collapse develops. If union is the only yardstick by which outcome is assessed, your scaphoid may heal--but you may not regain adequate wrist extension and you may be at risk down...

Vascularized bone graft surgery for Scaphoid Nonunion

posted 9/21/10 in Scaphoid Fracture and Nonunion

Nonunions of the scaphoid associated with proximal pole avascular necrosis (impaired blood supply) and acute proximal pole fractures have a high failure rates when treated with conventional techniques. A recent study from the Mayo Clinic in the Journal of Hand Surgery showed that smoking, failure to use screw fixation, and...

Russe bone graft procedure for Scaphoid Nonunion

posted 9/21/10 in Scaphoid Fracture and Nonunion

When a previous scaphoid fracture fails to heal, the nonunion is a potential source of chronic pain in the wrist. If the nonunion forms a significant cyst operative intervention may require bone graft. The Russe technique was popularized historically before the availability of compression screws, and had the advantage of...