The Management of the Healed Scaphoid Malunion

The Management of the Healed Scaphoid Malunion

Successful bone union is only a portion of scaphoid fracture management. Malunion is possible and can alter wrist kinematics, potentially causing wrist pain and accelerated degeneration. Evaluation of scaphoid malunion begins with adequate imaging and understanding of deformity. Treatment includes n...

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Bibliographic Details
Published in:Hand clinics Vol. 35; no. 3; pp. 373 - 379
Main Authors: Boe, Chelsea C., Amadio, Peter C., Kakar, Sanjeev
Format: Journal Article
Language:English
Published: Elsevier Inc 01-08-2019
Subjects:
Carpal collapse
Corrective osteotomy
DISI
Scaphoid malunion
Corrective osteotomy
DISI
Carpal collapse
Scaphoid malunion
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Summary:Successful bone union is only a portion of scaphoid fracture management. Malunion is possible and can alter wrist kinematics, potentially causing wrist pain and accelerated degeneration. Evaluation of scaphoid malunion begins with adequate imaging and understanding of deformity. Treatment includes nonoperative management, reconstruction, or salvage options. Correction of malunion can be obtained with an osteotomy and the use of structural graft to recreate anatomy and restore normal carpal motion. Clinical improvement of symptomatic scaphoid malunion can be reliably obtained with reconstruction, although the natural history and role for intervention in asymptomatic malunions remains unclear.
ISSN:0749-0712
1558-1969
DOI:10.1016/j.hcl.2019.03.008