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Scaphoid Fractures

  • Joel V. Ferreira
  • Juan Marcelo Giugale
  • Mark Baratz
Chapter
Part of the In Clinical Practice book series (ICP)

Abstract

The scaphoid is the most commonly fractured carpal bone in the wrist and a potentially devastating injury to an athlete if not promptly diagnosed and treated. The most common mechanism of injury is a fall onto an outstretched hand, usually with the wrist in extension and radial deviation. High index of suspicion followed by appropriate investigations can facilitate timely diagnosis and treatment of this challenging injury.

Keywords

Scaphoid Proximal pole Scaphoid waist Distal pole Scaphoid nonunion 

References

  1. 1.
    Adamany DC, Mikola EA, Fraser BJ. Percutaneous fixation of the scaphoid through a dorsal approach: an anatomic study. J Hand Surg Am. 2008;33(3):327–31.CrossRefGoogle Scholar
  2. 2.
    Bedi A, Jebson PJ, Hayden RJ, Jacobson JA, Martus JE. Internal fixation of acute, nondisplaced scaphoid waist fractures via a limited dorsal approach: an assessment of radiographic and functional outcomes. J Hand Surg Am. 2007;32(3):326–33.CrossRefGoogle Scholar
  3. 3.
    Belsky MR, Leibman MI, Ruchelsman DE. Scaphoid fracture in the elite athlete. Hand Clin. 2012;28(3):269–78.CrossRefGoogle Scholar
  4. 4.
    Bond CD, Shin AY, McBride MT, Dao KD. Percutaneous screw fixation or cast immobilization for non-displaced scaphoid fractures. J Bone Joint Surg Am. 2001;83-A(4):483–8.CrossRefGoogle Scholar
  5. 5.
    Buijze GA, Lozano-Calderon SA, Strackee SD, Blankevoort L, Jupiter JB. Osseous and ligamentous scaphoid anatomy: part I. A systematic literature review highlighting controversies. J Hand Surg Am. 2011;36(12):1926–35.CrossRefGoogle Scholar
  6. 6.
    Bushnell BD, McWilliams AD, Messer TM. Complications in dorsal percutaneous cannulated screw fixation of nondisplaced scaphoid waist fractures. J Hand Surg Am. 2007;32(6):827–33.CrossRefGoogle Scholar
  7. 7.
    Clay NR, Dias JJ, Costigan PS, Gregg PJ, Barton NJ. Need the thumb be immobilised in scaphoid fractures? A randomized prospective trial. J Bone Joint Surg Br. 1991;73(5):828–32.CrossRefGoogle Scholar
  8. 8.
    Cooney WP, Dobyns JH, Linscheid RL. Fractures of the scaphoid: a rational approach to management. Clin Orthop. 1980;149:90–7.Google Scholar
  9. 9.
    Dias JJ, Dhukaram V, Abhinav A, Bhowal B, Wildin CJ. Clinical and radiological outcome of cast immobilization versus surgical treatment of acute scaphoid fractures at a mean follow-up of 93 months. J Bone Joint Surg Br. 2008;90(7):899–905.CrossRefGoogle Scholar
  10. 10.
    Dodds SD, Panjabi MM, Slade JF 3rd. Screw fixation of scaphoid fractures: a biomechanical assessment of screw length and screw augmentation. J Hand Surg Am. 2006;31(3):405–13.CrossRefGoogle Scholar
  11. 11.
    dos Reis FB, Koeberle G, Leite NM, et al. Internal fixation of scaphoid injuries using the Herbert screw through a dorsal approach. J Hand Surg Am. 1993;18:792–7.CrossRefGoogle Scholar
  12. 12.
    Duckworth AD, Jenkins PJ, Aitken SA, Clement ND, Court-Brown CM, McQueen MM. Scaphoid fracture epidemiology. J Trauma Acute Care Surg. 2012;72:E41–5.CrossRefGoogle Scholar
  13. 13.
    Eastley N, Singh H, Dias JJ, Taub N. Union rates after proximal scaphoid fractures; a meta-analyses and review of available evidence. J Hand Surg Eur. 2013;38(8):888–97.CrossRefGoogle Scholar
  14. 14.
    Geissler WB. Carpal fractures in athletes. Clin Sports Med. 2001 Jan;20(1):167–88.CrossRefGoogle Scholar
  15. 15.
    Geissler WB. Arthroscopic management of scaphoid fractures in athletes. Hand Clin. 2009 Aug;25(3):359–69.CrossRefGoogle Scholar
  16. 16.
    Gelberman RH, Menon J. The vascularity of the scaphoid bone. J Hand Surg Am. 1980;5:508–13.CrossRefGoogle Scholar
  17. 17.
    Gellman H, Caputo RJ, Carter V, Aboulafia A, McKay M. Comparison of short and long thumb-spica casts for non-displaced fractures of the carpal scaphoid. J Bone Joint Surg Am. 1989;71-A:354–7.CrossRefGoogle Scholar
  18. 18.
    Geurts G, van Riet R, Meermans G, Verstreken F. Incidence of scaphotrapezial arthritis following volar percutaneous fixation of nondisplaced scaphoid waist fractures using a transtrapezial approach. J Hand Surg Am. 2011;36(11):1753–8.CrossRefGoogle Scholar
  19. 19.
    Grewal R, Suh N, Macdermid JC. Use of computed tomography to predict union and time to union in acute scaphoid fractures treated nonoperatively. J Hand Surg Am. 2013;38(5):872–7.CrossRefGoogle Scholar
  20. 20.
    Hambidge JE, Desai VV, Schranz PJ, Compson JP, Davis TR, Barton NJ. Acute fractures of the scaphoid. Treatment by cast immobilization with the wrist in flexion or extension. J Bone Joint Surg Br. 1999;81(1):91–2.CrossRefGoogle Scholar
  21. 21.
    Herbert TJ, Fisher WE. Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br. 1984;66-B:114–23.CrossRefGoogle Scholar
  22. 22.
    Jonsson BY, Siggeirsdottir K, Mogensen B, Sigvaldason H, Sigursson G. Fracture rate in a population-based sample of men in Reykjavik. Acta Orthop Scand. 2004;75:195–200.CrossRefGoogle Scholar
  23. 23.
    Kovacic J, Bergfeld J. Return to play issues in upper extremity injuries. Clin J Sport Med. 2005;15(6):448–52.CrossRefGoogle Scholar
  24. 24.
    Levitz S, Ring D. Retrograde (volar) scaphoid screw insertion-a quantitative computed tomographic analysis. J Hand Surg Am. 2005;30(3):543–8.CrossRefGoogle Scholar
  25. 25.
    Majima M, Horii E, Matsuki H, Hirata H, Genda E. Load transmission through the wrist in the extended position. J Hand Surg Am. 2008;33:182–8.CrossRefGoogle Scholar
  26. 26.
    McCallister WV, Knight J, Kaliappan R, Trumble TE. Central placement of the screw in simulated fractures of the scaphoid waist: a biomechanical study. J Bone Joint Surg Am. 2003;85-A(1):72–7.CrossRefGoogle Scholar
  27. 27.
    Parvizi J, Wayman J, Kelly P, Moran CG. Combining the clinical signs improves diagnosis of scaphoid fractures: a prospective study with follow-up. J Hand Surg Br. 1998;23:324–7.CrossRefGoogle Scholar
  28. 28.
    Rettig ME, Raskin KB. Retrograde compression screw fixation of acute proximal pole scaphoid fractures. J Hand Surg Am. 1999;24:1206–10.CrossRefGoogle Scholar
  29. 29.
    Riester JN, Baker BE, Mosher JF, Lowe D. A review of scaphoid fracture healing in competitive athletes. Am J Sports Med. 1985;13(3):159–62.CrossRefGoogle Scholar
  30. 30.
    Ring D, Jupiter JB, Herndon JH. Acute fractures of the scaphoid. J Am Acad Orthop Surg. 2000;8:225–31.CrossRefGoogle Scholar
  31. 31.
    Ring D, Lozano-Calderón S. Imaging for suspected scaphoid fracture. J Hand Surg Am. 2008;33:954–7.CrossRefGoogle Scholar
  32. 32.
    Rizzo M, Shin AY. Treatment of acute scaphoid fractures in the athlete. Curr Sports Med Rep. 2006;5(5):242–8.CrossRefGoogle Scholar
  33. 33.
    Russe O. Fracture of the carpal navicular: diagnosis, non-operative treatment, and operative treatment. J Bone Joint Surg Am. 1960;42:759–68.CrossRefGoogle Scholar
  34. 34.
    Saeden B, Tornkvist H, Ponzer S, Hoglund M. Fracture of the carpal scaphoid: a prospective, randomized 12-year follow-up comparing operative and conservative treatment. J Bone Joint Surg Br. 2001;83(2):230–4.CrossRefGoogle Scholar
  35. 35.
    Skirven T, Trope J. Complications of immobilization. Hand Clin. 1994;10(1):53–61.PubMedGoogle Scholar
  36. 36.
    Slade JF 3rd, Gutow AP, Geissler WB. Percutaneous internal fixation of scaphoid fractures via an arthroscopically assisted dorsal approach. J Bone Joint Surg Am. 2002;84-A(Suppl 2):21–36.CrossRefGoogle Scholar
  37. 37.
    Soubeyrand M, Biau D, Mansour C, Mahjoub S, Molina V, Gagey O. Comparison of percutaneous dorsal versus volar fixation of scaphoid waist fractures using a computer model in cadavers. J Hand Surg Am. 2009;34(10):1838–44.CrossRefGoogle Scholar
  38. 38.
    Tumilty JA, Squire DS. Unrecognized chondral penetration by a Herbert screw in the scaphoid. J Hand Surg Am. 1996;21(1):66–8.CrossRefGoogle Scholar
  39. 39.
    Unay K, Gokcen B, Ozkan K, Poyanli O, Eceviz E. Examination tests predictive of bone injury in patients with clinically suspected occult scaphoid fracture. Injury. 2009;40:1265–8.CrossRefGoogle Scholar
  40. 40.
    Van Tassel DC, Owens BD, Wolf JM. Incidence estimates and demographics of scaphoid fracture in the US population. J Hand Surg Am. 2010;35A:1242–5.CrossRefGoogle Scholar
  41. 41.
    Wolf JM, Dawson L, Mountcastle SB, Owens BD. The incidence of scaphoid fracture in a military population. Injury. 2009;40:1316–9.CrossRefGoogle Scholar
  42. 42.
    Yin ZG, Zhang JB, Kan SL, Wang P. Treatment of acute scaphoid fractures: systematic review and meta-analysis. Clin Orthop Relat Res. 2007 Jul;460:142–51.PubMedGoogle Scholar
  43. 43.
    Yin ZG, Zhang JB, Kan SL, Wang XG. Diagnosing suspected scaphoid fractures: a systematic review and meta-analysis. Clin Orthop Relat Res. 2010;468:723–34.CrossRefGoogle Scholar
  44. 44.
    Yin ZG, Zhang JB, Kan SL, Wang XG. Diagnostic accuracy of imaging modalities for suspected scaphoid fractures: meta-analysis combined with latent class analysis. J Bone Joint Surg Br. 2012;94-B(8):1077–85.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Joel V. Ferreira
    • 1
  • Juan Marcelo Giugale
    • 2
  • Mark Baratz
    • 3
  1. 1.Department of Orthopaedic SurgeryUConn HealthFarmingtonUSA
  2. 2.Greater Pittsburgh Orthopaedic AssociatesPittsburghUSA
  3. 3.Hand and Upper Extremity, Department of Orthopaedic SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA

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