Management of Scaphoid Nonunions

被引:7
|
作者
Waitayawinyu, Thanapong [1 ]
Pfaeffle, H. James [1 ]
McCallister, Wren V. [1 ]
Nemechek, Nicholas M. [1 ]
Trumble, Thomas E. [1 ]
机构
[1] Univ Washington, Dept Orthopaed & Sports Med, Seattle, WA 98195 USA
关键词
Vascularized bone graft; Scaphoid nonunion; Avascular necrosis; 1,2 ICSRA; VASCULARIZED BONE-GRAFT; HERBERT SCREW FIXATION; AVASCULAR NECROSIS; DISTAL RADIUS; NON-UNION; SUPRARETINACULAR ARTERY; NATURAL-HISTORY; PROXIMAL POLE; CARPAL ARTERY; ILIAC CREST;
D O I
10.1016/j.hcl.2009.08.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Scaphoid nonunions can exist with or without avascular necrosis of the proximal pole, and waist fractures may have an associated humpback deformity. CT bestshows the deformity and bone loss, whereas MRI will show avascular necrosis. Operative treatment should be directed at correcting the deformity with open reduction and internal fixation and bone grafting. Vascularized bone grafts should be used in cases of avascular necrosis.
引用
收藏
页码:105 / 117
页数:13
相关论文
共 50 条
  • [21] Fractures and nonunions of the carpal scaphoid in children
    Fabre, O
    De Boeck, H
    Van Wellen, P
    Haentjens, P
    7TH CONGRESS OF THE INTERNATIONAL FEDERATION OF SOCIETIES FOR SURGERY OF THE HAND (IFSSH), 1998, : 697 - 700
  • [22] PERCUTANEOUS PINNING OF SYMPTOMATIC SCAPHOID NONUNIONS
    COSIO, MQ
    CAMP, RA
    JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1986, 11A (03): : 350 - 355
  • [23] Vascularized Bone Grafting of Scaphoid Nonunions
    Gray, Robert R. L.
    Shin, Alexander Y.
    OPERATIVE TECHNIQUES IN SPORTS MEDICINE, 2010, 18 (03) : 155 - 162
  • [24] Arthroscopically Assisted Use of Injectable Bone Graft Substitutes for Management of Scaphoid Nonunions
    Chu, Po-Jung
    Shih, Jui-Tien
    ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2011, 27 (01): : 31 - 37
  • [25] Surgical treatment of pediatric scaphoid fracture nonunions
    Mintzer, CM
    Waters, PM
    JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1999, 19 (02) : 236 - 239
  • [26] COMPUTED ANALYSES OF THE PATHOMECHANICS OF SCAPHOID WAIST NONUNIONS
    BELSOLE, RJ
    HILBELINK, DR
    LLEWELLYN, JA
    DALE, M
    GREENE, TL
    RAYHACK, JM
    JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1991, 16A (05): : 899 - 906
  • [27] Scaphoid Nonunions Local Vascularized Bone Flaps
    McCarty, Justin C.
    Hamaguchi, Ryoko
    Eberlin, Kyle R.
    HAND CLINICS, 2024, 40 (01) : 117 - 127
  • [28] A NEW METHOD OF EVALUATING ANGULATION OF SCAPHOID NONUNIONS
    ENGDAHL, DE
    SCHACHERER, TG
    JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1989, 14A (06): : 1033 - 1034
  • [29] Factors Associated with Patient Delay in Scaphoid Nonunions
    Heidsieck, David S. P.
    ten Berg, Paul W. L.
    Schep, Niels W. L.
    Strackee, Simon D.
    JOURNAL OF HAND AND MICROSURGERY, 2015, 7 (02) : 300 - 305
  • [30] Prognostic factors in the treatment of carpal scaphoid nonunions
    Schuind, F
    Haentjens, P
    Van Innis, F
    Maren, CV
    Garcia-Elias, M
    Sennwald, G
    JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1999, 24A (04): : 761 - 776