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Martin Clementson Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Anders Björkman Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Niels O. B. Thomsen Department of Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden

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Introduction Post-traumatic radial-sided wrist pain is common and can represent a fracture, wrist sprain, ligament disruption or a combination of injuries. Previous studies have shown that a scaphoid fracture is the most common fracture among

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Jonny K Andersson Department of Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden

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Pelle Gustafson Department of Clinical Sciences – Orthopedics, Lund University, Lund, Sweden
The Swedish National Patient Insurance Company, Stockholm, Sweden

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Philippe Kopylov Department of Clinical Sciences – Orthopedics, Lund University, Lund, Sweden
Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden

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Introduction Scaphoid fractures account for 60% of carpal fractures, 11% of hand fractures and 2% of all fractures. The estimated incidence is shown to be 29–43 fractures/100 000 persons/year ( 1 , 2 , 3 , 4 ). Most commonly, it occurs in

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Bedri Karaismailoglu Ayancik State Hospital, Department of Orthopaedics and Traumatology, Sinop, Turkey

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Mehmet Fatih Guven Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Mert Erenler Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Huseyin Botanlioglu Istanbul University – Cerrahpasa, Cerrahpasa Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Introduction The treatment of scaphoid nonunion is still a challenge for hand surgeons. Nonunion rate of scaphoid fractures varies between 5% and 15%. 1 Due to tenuous retrograde blood supply of the scaphoid, this rate can increase up to

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Jacobien H.F. Oosterhoff Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, the Netherlands
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

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Job N. Doornberg Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, the Netherlands
Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders University, Adelaide, SA, Australia

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Machine Learning Consortium Members of the Machine Learning Consortium: Paul Algra, Michel van den Bekerom, Mohit Bhandari, Michiel Bongers, Charles Court-Brown, Anne-Eva Bulstra, Geert Buijze, Sofia Bzovsky, Neil Chen, Job Doornberg, Andrew Duckworth, J. Carel Goslings, Benjamin Gravesteijn, Olivier Groot, Gordon Guyatt, Laurent Hendrickx, Dirk-Jan Hofstee, Frank IJpma, Ruurd Jaarsma, Stein Janssen, Paul Jutte, Aditya Karhade, Lucien Keijser, Gino Kerkhoffs, David Langerhuizen, Jonathan Lans, Wouter Mallee, Matthew Moran, Margaret McQueen, Marjolein Mulders, Miryam Obdeijn, Tarandeep Oberai, Jacobien H.F. Oosterhoff, Rudolf Poolman, David Ring, Paul Tornetta III, Joseph Schwab, Emil H. Schemitsch, Niels Schep, Inger Schipper, Bram Schoolmeesters, Marc Swiontkowski, David Sanders, Sheila Sprague, Ewout Steyerberg, Stephen D. Walter, Monique Walenkamp

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prognostic outcome applications. In orthopaedic trauma, ML-derived clinical prediction rules may enhance workflow in the ED: 37 , 38 patients clinically suspected for scaphoid fracture are referred for radiographic evaluation. Of these, up to 20% of

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Maartje Michielsen Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium

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Annemieke Van Haver Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium

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Matthias Vanhees Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium

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Roger van Riet Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium

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Frederik Verstreken Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium

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deformities of the upper limb will benefit from the use of 3D technology and the use of patient-specific guides. 12 , 14 , 20 Approximately 5–10% of scaphoid fractures treated conservatively with cast immobilization develop non-union. 26

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Guillermo Droppelmann Research Center on Medicine, Exercise, Sport and Health, MEDS Clinic, Santiago, RM, Chile
Health Sciences PhD Program, Universidad Católica de Murcia UCAM, Murcia, Spain
Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA

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Constanza Rodríguez Facultad de Medicina, Universidad Finis Terrae, Santiago, RM, Chile

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Carlos Jorquera Facultad de Ciencias, Escuela de Nutrición y Dietética, Universidad Mayor, Santiago, RM, Chile

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Felipe Feijoo School of Industrial Engineering, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile

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Res-Net 152 Lin et al. ( 21 ) Taiwan US Bicipital peritendinous – 3801 72 7 3 18 CNN 2 Ozkaya et al. ( 22 ) Turkey Rx Scaphoid fracture 390 390 28 46 4 12 CNN 1 Saavedra et al. ( 23

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Maria Anna Smolle Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Lukas Leitner Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Nikolaus Böhler Department for Orthopedics and Traumatology, Kepler University Hospital GmbH, Linz, Austria

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Franz-Josef Seibert Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Mathias Glehr Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Andreas Leithner Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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nonunions after open fractures (odds ratio: 1.95) and fractures in general (odds ratio: 2.32). 108 Scaphoid fractures in particular are at high risk of nonunion, occurring in 10–15% of both operatively and conservatively treated patients, owing to the

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Bernd Grimm Luxembourg Institute of Health, Luxembourg

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Andrew M. Hanflik Los Alamitos Orthopaedics, Los Alamitos, California, USA

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Meir T. Marmor Department of Orthopaedic Surgery, University of California, San Francisco, California, USA

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Peter H. Richter Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Germany

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Andrew K. Sands Weill Cornell Medical College, Foot and Ankle Surgery, Downtown Orthopedic Associates, New York Presbyterian Lower Manhattan Hospital, New York, USA

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Sureshan Sivananthan Orthopaedic Surgery, Pantai Hospital Kuala Lumpur, Malaysia

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, Beijing), which has been used in the orthopaedic trauma setting. This robot uses intraoperative imaging and acts as an aiming device for wire placement in procedures amenable to percutaneous fixation. This includes scaphoid fractures, 46 pelvic

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Patrick Houvet Institut Français de Chirurgie de la Main, Paris, France

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deformity in the setting of scaphoid fracture nonunion (75% vs 20%). Yet with this type of procedure the lunate positioning is easier to achieve, and the rate of fusion is higher. Fig. 7 LC fusion+ scaphoidectomy. In type II, with an

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Paul L Rodham Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Vasileios P Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Nikolaos K Kanakaris Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland
Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland

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Peter V Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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only nine studies (eight randomised) examining its use ( 87 ). In this review, PRP was demonstrated to produce higher union rates when utilised at the time of ORIF of acute scaphoid fractures, however, demonstrated no differences in the union rates when

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