percutaneous screw fixation or cast immobilization for nondisplaced scaphoid fractures by charles d....

Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures

by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem D. Dao

J Bone Joint Surg AmVolume 83(4):483-483

April 1, 2001

©2001 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior (Fig. 1-A), oblique (Fig. 1-B), and lateral (Fig. 1-C) radiographs of a twenty-year-old man with an acute nondisplaced fracture of the scaphoid waist who was randomized to

fixation with a percutaneous cannulated screw.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior (Fig. 1-A), oblique (Fig. 1-B), and lateral (Fig. 1-C) radiographs of a twenty-year-old man with an acute nondisplaced fracture of the scaphoid waist who was randomized to

fixation with a percutaneous cannulated screw.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior (Fig. 1-A), oblique (Fig. 1-B), and lateral (Fig. 1-C) radiographs of a twenty-year-old man with an acute nondisplaced fracture of the scaphoid waist who was randomized to

fixation with a percutaneous cannulated screw.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

The wrist is placed supine over a towel roll and extended in order to assist in translation of the trapezium dorsal to the path of the guide-wire.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

After the initial guide-wire is satisfactorily placed under fluoroscopic guidance, a second guide-wire is placed across the fracture site to prevent rotation of the fracture fragments during

tapping and screw placement.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

After the initial guide-wire is satisfactorily placed under fluoroscopic guidance, a second guide-wire is placed across the fracture site to prevent rotation of the fracture fragments during

tapping and screw placement.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

Postoperative anteroposterior (Fig. 4-A), oblique (Fig. 4-B), and lateral (Fig. 4-C) radiographs of the patient whose radiographs made at the time of injury are shown in Figure 1.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

Postoperative anteroposterior (Fig. 4-A), oblique (Fig. 4-B), and lateral (Fig. 4-C) radiographs of the patient whose radiographs made at the time of injury are shown in Figure 1.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.

Postoperative anteroposterior (Fig. 4-A), oblique (Fig. 4-B), and lateral (Fig. 4-C) radiographs of the patient whose radiographs made at the time of injury are shown in Figure 1.

Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483

©2001 by The Journal of Bone and Joint Surgery, Inc.