Scaphoid Nonunion Advanced Collapse: Scaphoid Excision and 4-Corner Arthrodesis

Abstract

A 45-year-old male CEO of a financial firm presented with a 3 year history of gradually worsening wrist pain. He recalled injuring his wrist in his 20’s. A physician told him he had broken a “wrist bone” and he had worn a cast for 2 months. He had not had much pain until 3 years ago when he first noticed pain with exercise and weightlifting progressing to pain with most activities of daily living at present. He noticed that he has lost range of wrist motion and also noticed a “hard bump” on the dorsal-radial aspect of the wrist. He has tried a wrist splint, anti-inflammatory medicines and has had a corticosteroid injection into the wrist, all only providing short term relief of symptoms.