医学
骨不连
舟状骨骨折
腕骨
畸形
外科
流离失所(心理学)
固定(群体遗传学)
口腔正畸科
手腕
心理学
环境卫生
心理治疗师
人口
作者
Robert R.L. Gray,Abby L. Halpern,S.E. King,Joshua E. Anderson
标识
DOI:10.1177/17531934231165419
摘要
The scaphoid is the largest of the carpal bones, articulating with both proximal and distal carpal rows. If scaphoid fractures are not appropriately diagnosed and treated, there is a risk of nonunion, osteonecrosis and degenerative arthritis. Operative management of the scaphoid fracture is primarily determined by the fracture location and amount of displacement. There is increased momentum for dual screw fixation constructs, intended to provide greater stability and reduce the risk of nonunion. Our current practice is to utilize two screws without graft as a first-line treatment for scaphoid nonunion with or without humpback deformity and cyst formation. This review will discuss the management of acute scaphoid fractures and the treatment of nonunion.
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