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The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion.

Publication ,  Journal Article
Ruch, DS; Chang, DS; Poehling, GG
Published in: Arthroscopy
October 1998

The authors describe a technique of treating scaphoid nonunions with associated avascular necrosis consisting of arthroscopic resection of the distal pole of the scaphoid combined with radial styloidectomy. The results at 2-year follow-up showed all three patients to have complete relief of their mechanical pain and improvement in their range of motion as well as high satisfaction with the procedure. Modified Mayo Wrist Scores were a mean preoperatively of 60 and postoperatively of 88. Postoperative radiographs showed no increase in the scapholunate gap. However, the capitolunate angle increased from a mean of 3 degrees to 13 degrees . There was no progression of degenerative changes noted. The advantages of this technique include (1) minimal morbidity, (2) relief of mechanical pain, and (3) improved range of motion with no early degenerative changes. The rate and severity of degenerative change following this procedure remain unknown.

Duke Scholars

Published In

Arthroscopy

DOI

ISSN

0749-8063

Publication Date

October 1998

Volume

14

Issue

7

Start / End Page

747 / 752

Location

United States

Related Subject Headings

  • Osteonecrosis
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Fractures, Bone
  • Female
  • Endoscopy
  • Carpal Bones
  • Arthroscopy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ruch, D. S., Chang, D. S., & Poehling, G. G. (1998). The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion. Arthroscopy, 14(7), 747–752. https://doi.org/10.1016/s0749-8063(98)70103-3
Ruch, D. S., D. S. Chang, and G. G. Poehling. “The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion.Arthroscopy 14, no. 7 (October 1998): 747–52. https://doi.org/10.1016/s0749-8063(98)70103-3.
Ruch DS, Chang DS, Poehling GG. The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion. Arthroscopy. 1998 Oct;14(7):747–52.
Ruch, D. S., et al. “The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion.Arthroscopy, vol. 14, no. 7, Oct. 1998, pp. 747–52. Pubmed, doi:10.1016/s0749-8063(98)70103-3.
Ruch DS, Chang DS, Poehling GG. The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion. Arthroscopy. 1998 Oct;14(7):747–752.
Journal cover image

Published In

Arthroscopy

DOI

ISSN

0749-8063

Publication Date

October 1998

Volume

14

Issue

7

Start / End Page

747 / 752

Location

United States

Related Subject Headings

  • Osteonecrosis
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Fractures, Bone
  • Female
  • Endoscopy
  • Carpal Bones
  • Arthroscopy