J Korean Orthop Assoc.  1985 Dec;20(6):1073-1079. 10.4055/jkoa.1985.20.6.1073.

The Treatment of Scaphoid Nonunion

• Ha KI
• Hahn SH
• Jung MY
• Kim MS
• Jang HS

• KMID: 2446161
• DOI: http://doi.org/10.4055/jkoa.1985.20.6.1073

Abstract

Fracture of the scaphoid constitute 60% to 70% of all diagnosed carpal injury. The acute fracture will heal approximately 90% of the time if recognized early and properly immobilized. But nonunion are common since the symtoms do not alert patients to seek early medical treatment and the diagnosis is easily missed. Authors have experienced 19 cases of scaphoid nonunion and accomplished good result in all case by Russe procedure. The results were summerized as follow: 1 The cause of fratures was mainly due to fall down dinjury (36.8%). 2. The most common mechanism of the fracture was fall on the outstretched hand (52.7%). 3. Fractures were shown on the anterior-posterior, lateral and billiards view in all cases. 4. In ten cases, the fractures were found on the waist of scaphoid. 5. The cases of nonunion were probably inadequate intial treatment and delayed diagnosis. 6. The good results were obtained by bone graft according to Russe procedure.

Keyword

Scaphoid (carpal) fracture; non union of; treatment; Russe procedure

MeSH Terms

Delayed Diagnosis
Diagnosis
Hand
Humans
Transplants