Scaphoid Nonunions.
Journal Article (Journal Article;Review)
Scaphoid nonunions are challenging injuries to manage and the optimal treatment algorithm continues to be debated. Most scaphoid fractures heal when appropriately treated; however, when nonunions occur, they require acute treatment to prevent future complications like scaphoid nonunion advanced collapse. Acute nonunion treatment technique depends on nonunion location, vascular status of the proximal pole, fracture malalignment, and pre-existing evidence of arthrosis. Bone grafting and vascular grafts are common in nonunion management. Chronic nonunions that have progressed to scaphoid nonunion advanced collapse often require a salvage procedure such as four corner fusions, proximal row carpectomy, or wrist fusion. Herein, we review the current literature regarding scaphoid nonunions with regards to their anatomy, natural history, classification, diagnostic imaging, surgical management, and clinical outcomes.
Full Text
Duke Authors
Cited Authors
- Klifto, CS; Ramme, AJ; Sapienza, A; Paksima, N
Published Date
- March 2018
Published In
Volume / Issue
- 76 / 1
Start / End Page
- 27 - 32
PubMed ID
- 29537954
Electronic International Standard Serial Number (EISSN)
- 2328-5273
Language
- eng
Conference Location
- United States