Scaphoid Nonunion – Volar Approach

  • Christine A. Ho
Living reference work entry


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.

References and Suggested Readings

  1. Henderson B, Letts M (2003) Operative management of pediatric scaphoid fracture nonunion. J Pediatr Orthop 23(3):402–406PubMedGoogle Scholar
  2. Mintzer CM, Waters PM (1999) Surgical treatment of pediatric scaphoid fracture nonunions. J Pediatr Orthop 19(2):236–239CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of OrthopedicsTexas Scottish Rite Hospital for ChildrenDallasUSA

Section editors and affiliations

  • Jennifer M. Ty
    • 1
  1. 1.Department of Orthopedic SurgeryNemours: Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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