Skip to main content

Scaphoid Nonunion: Surgical Fixation Without Bone Graft

  • Chapter
  • First Online:
Scaphoid Fractures and Nonunions

Abstract

A 21-year-old right-hand dominant elite hockey player presented to our clinic with a known left scaphoid fracture. He sustained this injury 7 months ago while playing hockey. He was able to continue playing, albeit with wrist pain. He presented to the emergency room after the game and was diagnosed with a wrist sprain as no fractures were identified on initial radiographs. His pain gradually resolved over the course of 4 weeks and he returned to play the remaining 5 months of the season. He denies reinjuring the wrist, but noted a recurrence of symptoms when he started off-season training.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Temple CL, Ross DC, Bennett JD, Garvin GJ, King Gj, Faber KJ. Comparison of sagittal computed tomography and plain film radiography in a scaphoid fracture model. J Hand Surg (Am). 2005;30A:534–42.

    Article  Google Scholar 

  2. Lozano-Calderon S, Blazar P, Zurakowski D, Lee SG, Ring D. Diagnosis of scaphoid fracture displacement with radiography and computed tomography. J Bone Jt Surg. 2006;88A:2695–703.

    Article  Google Scholar 

  3. Schmitt R, Heinze A, Fellner F, et al. Imaging and staging of avascular osteonecroses at the wrist and hand. Eur J Radiol. 1997;25:92–103.

    Article  CAS  PubMed  Google Scholar 

  4. Kawamura K, Chung KC. Treatment of scaphoid fractures and nonunions. J Hand Surg (Am). 2008;33A:988–97.

    Article  Google Scholar 

  5. Osterman AL, Mikulics M. Scaphoid nonunion. Hand Clin. 1988;4:437–55.

    CAS  PubMed  Google Scholar 

  6. Capo JT, Orillaza NS Jr, Slade JF 3rd. Percutaneous management of scaphoid nonunions. Tech Hand Up Extrem Surg. 2009;13(1):23–29.

    Google Scholar 

  7. Barton NJ. Apparent and partial non-union of the scaphoid. J Hand Surg (Br). 1996;21B(4):496–500.

    Article  Google Scholar 

  8. Slade JF, Geissler WB, Gutow AP, et al. Percutaneous internal fixation of selected scaphoid nonunions with an arthroscopically assisted dorsal approach. J Bone Jt Surg. 2003;85A(4):20–32.

    Article  Google Scholar 

  9. Buijze GA, Ochtman L, Ring D. Management of scaphoid nonunions. J Hand Surg (Am.). 2012;37A:1095–100.

    Article  Google Scholar 

  10. Singh HP, Forward D, Davis TRC, et al. Partial union of acute scaphoid fractures. J Hand Surg (Br). 2005;30:440–5.

    Article  CAS  Google Scholar 

  11. Trumble TE, Salas P, Barthell T et al. Management of scaphoid nonunions. J Am Acad Orthop Surg. 2003;11:380–91.

    Article  PubMed  Google Scholar 

  12. McQueen MM, Gelbke MK, Wakefield A, et al. Percutaneous screw fixation versus conservative treatment for fractures of the waist of the scaphoid. J Bone Jt Surg (Br). 2008;90B: 66–71.

    Article  Google Scholar 

  13. Saint-Cyr M, Oni G, Wong C, et al. Dorsal percutaneous cannulated screw fixation for delayed union and nonunion of the scaphoid. Plastic Reconstruct Surg. 2011;128:467–73.

    Article  CAS  Google Scholar 

  14. Mahmoud M, Koptan W. Percutaneous screw fixation without bone grafting for established scaphoid nonunion with substantial bone loss. J Bone Jt Surg (Br). 2011;93B:932–6.

    Article  Google Scholar 

  15. Jeon I, Kochhar H, Lee B, et al. Percutaneous screw fixation for scaphoid nonunion in skeletally immature patients: a report of two cases. J Hand Surg. 2008;33A:656–9.

    Article  Google Scholar 

  16. Bushnell BD, McWilliams AD, Messer TM. Complications in dorsal cannulated screw fixation of nondisplaced scaphoid waist fractures. J Hand Surg. 2007;32A:827–33.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ruby Grewal .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Doherty, C., Grewal, R. (2015). Scaphoid Nonunion: Surgical Fixation Without Bone Graft. In: Yao, J. (eds) Scaphoid Fractures and Nonunions. Springer, Cham. https://doi.org/10.1007/978-3-319-18977-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18977-2_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18976-5

  • Online ISBN: 978-3-319-18977-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics