Scaphoid Nonunion – Volar Approach
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.