Scaphoid fractures are the most common carpal bone fractures and present physicians with many problems. The majority of such fractures (90%) will unite if properly treated; however a scaphoid fracture that goes on to nonunion affects a patient's working capacity for a long period of time. This paper reviews the pathophysiology of the injury and outlines the diagnostic and treatment options available.
SzaboRM, ManskeD.. Displaced fractures of the scaphoid.Clin Orthop1988; 230: 30–8.
11.
WeberER. Biomechanical implications of scaphoid waist fractures.Clin Orthop1980; 149: 83–9.
12.
OstermanAL. Closed treatment of scaphoid fractures. Scaphoid Fractures and Complications.Rosemont: American Academy of Orthopedic Surgeons [monograph series], 1994; 21–25.
DickinsonJC, ShannonJG. Fractures of the carpal scaphoid in the Canadian army: Review and commentary.Surg Gynecol Obst1944; 79: 225–39.
15.
LanghoffO., AndersonJL. Consequences of late immobilization of scaphoid fractures.J Hand Surg1988; 13: 77–9.
16.
MackGR, BosseMJ, GelbermanRH. The natural history of scaphoid nonunion.J Bone Joint Surg1984; 66: 504–9.
17.
LindstromG., NystromA.. Natural history of scaphoid nonunion with special reference to asymptomatic cases.J Hand Surg1992; 17: 697–700.
18.
LindstromG., NystromA.. Incidence of post-traumatic arthritis after primary healing of scaphoid fractures: A clinical and radiological study.J Hand Surg1990; 15: 11–3.
19.
Hooning Van DuyvenbodeJFF, KeijserLCM, HauetEJ. Pseudarthrosis of the scaphoid treated by the Matti-Russe operation.J Bone Joint Surg1991; 73: 603–6.
20.
MackGR, LichtmanDM. Scaphoid nonunion. In: LichtmanDM, ed. The Wrist and Its Disorders.Philadelphia: WB Saunders and Company, 1988: 293–328.
21.
BelsoleRJ, HilbelinkDR, LlewellynJA. Computed analyses of the pathomechanics of scaphoid waist nonunions.J Hand Surg1991; 16: 899–906.
22.
AmadioPC, BerquistTH, SmithDK. Scaphoid malunion.J Hand Surg1989; 14: 679–87.
23.
BurgessRC. The effect of a simulated scaphoid malunion on wrist motion.J Hand Surg1987; 12: 774–6.
24.
FernandezDL. A technique for anterior wedge-shaped grafts for scaphoid nonunions with carpal instability.J Hand Surg1984; 9: 733–7.
25.
FernandezDL. Anterior bone grafting and conventional lag screw fixation to treat scaphoid nonunions.J Hand Surg1990; 15: 140–7.
26.
HerbertTJ, FisherWE: Management of the fractured scaphoid using a new bone screw.J Bone Joint Surg1984; 66:114–23.
27.
CarrozzellaJC, SternPJ, MurdockPA. The fate of failed bone graft surgery for scaphoid nonunions.J Hand Surg1989; 14: 800–6.
28.
BoraFW, OstermanAL, BrightonCT. The electrical treatment of scaphoid nonunion.Clin Orthop1981; 161: 30–8.
29.
AdamsBD, FrykmanGK, TaleisnikJ.. Treatment of scaphoid nonunion with casting and pulsed electromagnetic fields: a study continuation.J Hand Surg1992; 17: 910–3.
30.
OstermanAL, BoraFW. Electrical stimulation applied to bone and nerve injuries in the upper extremity.Orthop Clin North Am1986; 17: 353–64.
31.
WatsonHK, BalletFL. The SLAC wrist: Scapholunate advanced collapse pattern of degenerative arthritis.J Hand Surg1984; 9: 358–65.
32.
NelsonDL, MitchellMA, ManskePR. Functional wrist range of motion. Phoenix, American Society for Surgery of the Hand Annual Meeting, November 11-14, 1992.
33.
RichardsRS, RothJH. Simultaneous proximal row carpectomy and radius to distal carpal row arthrodesis.J Hand Surg1994; 17: 728–32.
