Abstract
A 14 + 8 year old healthy male presented with a right distal pole scaphoid nonunion and DISI (dorsal intercalated segment instability) deformity after an injury 6 months prior. Open reduction and internal fixation with structural autograft to correct the humpback deformity was performed via a volar approach. He was placed in a short arm thumb spica cast for 6 weeks and then transitioned to a removable thumb spica splint when healing was present at the 6 week follow-up. Union was present at 3 months, and the patient had full range of motion, no pain, and was released to football.
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References and Suggested Readings
Henderson B, Letts M (2003) Operative management of pediatric scaphoid fracture nonunion. J Pediatr Orthop 23(3):402–406
Mintzer CM, Waters PM (1999) Surgical treatment of pediatric scaphoid fracture nonunions. J Pediatr Orthop 19(2):236–239
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Ho, C.A. (2020). Scaphoid Nonunion: Volar Approach. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_149
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DOI: https://doi.org/10.1007/978-3-319-29980-8_149
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29979-2
Online ISBN: 978-3-319-29980-8
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