Severely displaced scaphoid fracture treated by arthroscopic assisted reduction and osteosynthesis.
The severely displaced scaphoid fracture, when combined with a scapholunate dissociation, is a very rare condition that commonly is treated by open surgery. The authors present a case treated by arthroscopic-assisted closed reduction, using percutaneous pinning for the scapholunate dissociation and a Herbert/Whipple screw insertion for the scaphoid fracture. The patient was able to return to work four months after surgery. At twenty-seven months after surgery, both the patient's grip power and range of motion in the wrist were acceptable. The authors recommend this procedure as a minimally invasive operation.
Toh
S
S
Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Aomori, Japan.
Nagao
A
A
Harata
S
S
D000328:Adult; D001182:Arthroscopy; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries*