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Management of Concomitant Scaphoid Fractures

  • Christophe MathoulinEmail author
Chapter
  • 890 Downloads

Abstract

Open reduction and internal fixation has become well accepted for the treatment of scaphoid fractures. In this chapter, we highlight the technique of wrist arthroscopy combined with percutaneous screw fixation of the scaphoid. Important factors in favor of this approach are direct arthroscopic visualization of fracture reduction and the ability to check and avoid intraarticular screw exposure. Each technical step is illustrated in detail, and the important treatment principles are emphasized. This combined approach has become a valuable tool in the arsenal of treatment options for posttraumatic wrist pathology, especially in a scaphoid fracture.

Keywords

Distal Radius Fracture Scaphoid Fracture Screw Position Proximal Pole Distal Radial Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

The author acknowledges Arne Decramer’s assistance in reviewing the patients and writing this article.

References

  1. 1.
    Cooney WP, Dobyns JH, Linscheid RL. Fractures of the scaphoid: a rational approach to management. Clin Orthop Rel Res. 1980;149:90–7Google Scholar
  2. 2.
    De Vos J, Vandenberghe D. Acute percutaneous scaphoid fixation using a non-cannulated Herbert screw. Chir Main. 2003;22:78–83CrossRefPubMedGoogle Scholar
  3. 3.
    Filan SL, Herbert TJ. Herbert screw fixation of scaphoid fractures. J Bone Joint Surg Am. 1996;78:519–29Google Scholar
  4. 4.
    Gelberman RH, Menon J. Vascularity of the scaphoid bone. J Hand Surg Am. 1980;5:508–13PubMedGoogle Scholar
  5. 5.
    Haddad FC, Goddard NJ. Acute percutaneous scaphoid fixation: a pilot study. J Bone Joint Surg Br. 1998;80:95–9CrossRefPubMedGoogle Scholar
  6. 6.
    Herbert TJ. Internal fixation of the scaphoid – history. Le Scaphoïde. Sauramps; Montpellier; 2004. p. 125–9Google Scholar
  7. 7.
    Herbert TJ, Fischer WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br. 1984;66-B:114–23Google Scholar
  8. 8.
    Inoue G, Sionoya K. Herbert screw fixation by limited access for acute fracture of the scaphoid. J Bone Joint Surg Br. 1997;79:418–21CrossRefPubMedGoogle Scholar
  9. 9.
    Ledoux P, Chahidi N, Moermans JP, et al. Percutaneous Herbert screw osteosynthesis of the scaphoid bone. Acta Orthop Belg. 1995;61:43–7PubMedGoogle Scholar
  10. 10.
    Meermans G, Verstreken F. Percutaneous transtrapezial fixation of acute scaphoid fractures. J Hand Surg Br. 2008;33(6): 791–6Google Scholar
  11. 11.
    Merrell GA, Slade JF III. Simultaneous fractures of the scaphoid and distal radius. In: Slutsky DJ, Osterman AL, editors. Fractures and injuries of the distal radius and carpus. Philadelphia: Saunders Elsevier; 2009Google Scholar
  12. 12.
    Retig AC, Kollias SC. Internal fixation of acute stable scaphoid fractures in the athlete. Am J Sports Med. 1996;24: 182–6CrossRefGoogle Scholar
  13. 13.
    Shih JT, Lee HM, Hou YT, et al. Result of arthroscopic reduction and percutaneous fixation for acute displaced scaphoid fractures. Arthroscopy. 2005;21:620–6CrossRefPubMedGoogle Scholar
  14. 14.
    Shin A, Bond A, McBride M, et al. Acute screw fixation versus cast immobilisation for stable scaphoid fractures: a prospective randomized study. Presented at the 55th American Society of surgery for the hand, Seattle; 5–7 Oct 2000Google Scholar
  15. 15.
    Schernberg F. Les fractures récentes du scaphoïde. Chir Main. 2005;24:117–31CrossRefPubMedGoogle Scholar
  16. 16.
    Schernberg F, Elzein F, Gerard Y. Etude anatomo-clinique des fractures du scaphoïde carpien. Problème des cals vicieux. Rev Chir Orthop. 1984;70(II suppl):55–63PubMedGoogle Scholar
  17. 17.
    Slade JF III, Taksali S, Safanda J. Combined fractures of the scaphoid and distal radius; a revised treatment rationale using percutaneous and arthroscopic techniques. Hand Clin. 2005;21(3):427–41CrossRefPubMedGoogle Scholar
  18. 18.
    Whipple T (ed) Arthroscopic surgery. In: The wrist. Philadelphia: Lippincott; 1992Google Scholar
  19. 19.
    Whipple TL. Stabilization of the fractured scaphoid under arthroscopic control. Orthop Clin North Am. 1995;26:749–54PubMedGoogle Scholar
  20. 20.
    Whipple TL. The role of arthroscopy in the treatment of intra-articular wrist fractures. Hand Clin. 1995;11:13–8PubMedGoogle Scholar
  21. 21.
    Wozasek GE, Moser KD. Percutaneous screw fixation of fractures of the scaphoid. J Bone Joint Surg Am. 1991;73: 138–42Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Institut de la MainClinique JouvenetParisFrance

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