title: Minimal invasive management of scaphoid fractures: from fresh to nonunion.
abstract: The peculiar shape of scaphoid hinders a precise evaluation of its fracture configuration, displacement and accuracy of screw placement. Its tenuous vascular supply risks the complications of delayed union, nonunion and avascular necrosis. Scaphoid is the focus of ligamentous attachment governing carpal kinematics. Preservation of its anatomy and vascularity is critical for normal wrist function. A new fracture classification clearly denoting every fracture type and guiding the management is introduced. The minimal invasive management of different scaphoid fracture conditions, including acute non-displaced and displaced fracture, delayed presentation, and nonunion are discussed. Role of arthroscopy is emphasized. Detailed surgical techniques are shared here.
authors.affiliation: Department of Orthopaedics and Traumatology, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, N.T., Hong Kong.
authors.forename: W Y Clara
authors.initials: WY
authors.lastname: Wong
authors.forename: P C
authors.initials: PC
authors.lastname: Ho
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D001863:Bone Screws; D005260:Female; D005471:Fluoroscopy; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D050723:Fractures, Bone / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014143:Traction; D055815:Young Adult