The natural history of scaphoid non-union. A review of fifty-two cases.
Fifty-two cases of scaphoid non-union requiring Matti-Russe operation are studied. 46% of patients did not receive any treatment after the initial trauma. 32 patients had suffered a single trauma with continuous painful symptoms. In 20 patients, the non-union was only decompensated after a second trauma. Eight of the 32 cases presented with DISI, which is always accompanied by displacement of the fracture by at least 1 mm. Comparison of the present study with that of G.R. Mack and L.K. Ruby confirmed several points: arthrosis is inevitable after a variable delay (10 years for the most optimistic). DISI probably carries a poor prognosis, but a significant correlation with arthrosis could not be demonstrated before 10 years.
Service d'Orthopédie, Traumatologie, Hôpital Charles Nicolle, Rouen.
P Y
PY
Milliez
J M
JM
Courandier
J M
JM
Thomine
N
N
Biga
D000293:Adolescent; D000328:Adult; D001168:Arthritis / Q000209:etiology; D002348:Carpal Bones; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D011859:Radiography