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Dorsal Capsular-Based Vascularized Distal Radius Graft for Scaphoid Nonunion

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Scaphoid Fractures and Nonunions

Abstract

A 27-year-old right-hand dominant manual laborer was referred to our clinic with a 7-month history of persistent right radial wrist pain after a fall onto his outstretched hand. He was initially diagnosed with a proximal pole scaphoid fracture and treated with a removable short-arm thumb spica splint. The patient denied tobacco use, and his prior medical history was noncontributory. At the time of presentation, the patient had mild swelling over the dorsum of the right wrist and marked tenderness to direct palpation in the anatomic snuffbox. Wrist extension was 70° with pain, and wrist flexion was 60° with pain. Sensation was intact in the median, radial, and ulnar nerve distributions. Motor strength was 5/5 in all distributions except wrist extension and wrist flexion, which were graded 4/5 secondary to pain.

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Correspondence to Dean G. Sotereanos .

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Papatheodorou, L.K., Sotereanos, D.G. (2015). Dorsal Capsular-Based Vascularized Distal Radius Graft for Scaphoid Nonunion. In: Yao, J. (eds) Scaphoid Fractures and Nonunions. Springer, Cham. https://doi.org/10.1007/978-3-319-18977-2_14

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  • DOI: https://doi.org/10.1007/978-3-319-18977-2_14

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-18977-2

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