Skip to main content
SpringerLink
Log in
Book cover

Arthroscopic Management of Distal Radius Fractures pp 117–126Cite as

Management of Concomitant Scaphoid Fractures

  • Chapter
  • First Online:

  • 1029 Accesses

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.

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Cooney WP, Dobyns JH, Linscheid RL. Fractures of the scaphoid: a rational approach to management. Clin Orthop Rel Res. 1980;149:90–7

    Google Scholar 

  2. De Vos J, Vandenberghe D. Acute percutaneous scaphoid fixation using a non-cannulated Herbert screw. Chir Main. 2003;22:78–83

    Article  PubMed  Google Scholar 

  3. Filan SL, Herbert TJ. Herbert screw fixation of scaphoid fractures. J Bone Joint Surg Am. 1996;78:519–29

    CAS  Google Scholar 

  4. Gelberman RH, Menon J. Vascularity of the scaphoid bone. J Hand Surg Am. 1980;5:508–13

    CAS  PubMed  Google Scholar 

  5. Haddad FC, Goddard NJ. Acute percutaneous scaphoid fixation: a pilot study. J Bone Joint Surg Br. 1998;80:95–9

    Article  CAS  PubMed  Google Scholar 

  6. Herbert TJ. Internal fixation of the scaphoid – history. Le Scaphoïde. Sauramps; Montpellier; 2004. p. 125–9

    Google Scholar 

  7. Herbert TJ, Fischer WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br. 1984;66-B:114–23

    Google Scholar 

  8. Inoue G, Sionoya K. Herbert screw fixation by limited access for acute fracture of the scaphoid. J Bone Joint Surg Br. 1997;79:418–21

    Article  CAS  PubMed  Google Scholar 

  9. Ledoux P, Chahidi N, Moermans JP, et al. Percutaneous Herbert screw osteosynthesis of the scaphoid bone. Acta Orthop Belg. 1995;61:43–7

    CAS  PubMed  Google Scholar 

  10. Meermans G, Verstreken F. Percutaneous transtrapezial fixation of acute scaphoid fractures. J Hand Surg Br. 2008;33(6): 791–6

    CAS  Google Scholar 

  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; 2009

    Google Scholar 

  12. Retig AC, Kollias SC. Internal fixation of acute stable scaphoid fractures in the athlete. Am J Sports Med. 1996;24: 182–6

    Article  Google Scholar 

  13. Shih JT, Lee HM, Hou YT, et al. Result of arthroscopic reduction and percutaneous fixation for acute displaced scaphoid fractures. Arthroscopy. 2005;21:620–6

    Article  PubMed  Google Scholar 

  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 2000

    Google Scholar 

  15. Schernberg F. Les fractures récentes du scaphoïde. Chir Main. 2005;24:117–31

    Article  CAS  PubMed  Google Scholar 

  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):55–63

    PubMed  Google Scholar 

  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):427–41

    Article  PubMed  Google Scholar 

  18. Whipple T (ed) Arthroscopic surgery. In: The wrist. Philadelphia: Lippincott; 1992

    Google Scholar 

  19. Whipple TL. Stabilization of the fractured scaphoid under arthroscopic control. Orthop Clin North Am. 1995;26:749–54

    CAS  PubMed  Google Scholar 

  20. Whipple TL. The role of arthroscopy in the treatment of intra-articular wrist fractures. Hand Clin. 1995;11:13–8

    CAS  PubMed  Google Scholar 

  21. Wozasek GE, Moser KD. Percutaneous screw fixation of fractures of the scaphoid. J Bone Joint Surg Am. 1991;73: 138–42

    CAS  Google Scholar 

Download references

Acknowledgments

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

Author information

Authors and Affiliations

  1. Institut de la Main, Clinique Jouvenet, 6 Square Jouvenet, 75016, Paris, France

    Christophe Mathoulin

Authors
  1. Christophe Mathoulin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christophe Mathoulin .

Editor information

Editors and Affiliations

  1. Calderón de la Barca 16-entlo., Santander, 39002, Spain

    Francisco Piñal

  2. Via Pietro da Rimini 4, Rimini, 47900, Italy

    Riccardo Luchetti

  3. Institut de la Main, Clinique Jouvenet, square Jouvenet 6, Paris CX, 75007, France

    Christophe Mathoulin

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Mathoulin, C. (2010). Management of Concomitant Scaphoid Fractures. In: Piñal, F., Luchetti, R., Mathoulin, C. (eds) Arthroscopic Management of Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05354-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-05354-2_10

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05353-5

  • Online ISBN: 978-3-642-05354-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation