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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
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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The Swedish National Patient Insurance Company, Stockholm, Sweden
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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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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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at other sites), postoperative infection risk, nonunion after fracture surgery or elective orthopaedic procedures in general, and persistent nonunion after scaphoid nonunion. Crude values rather than variable-adjusted results were used in order not to
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
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Case 1 A 24-year-old motorcyclist sustained a fracture at the waist of the scaphoid, which was treated with cast immobilization for 12 weeks. He suffered from activity-related pain and continuous swelling of the wrist. Examination showed limited
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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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role in terms of rotational stability. 4 , 5 The dorsal part of the SLL measures 2 mm to 3 mm in thickness and is in the range of 2 mm to 5 mm in length. The vascular supply to the scaphoid and SLL is delicate. The main vascular contribution comes
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anteriorly than posteriorly. Approximately two-thirds of its surface area is covered with articular cartilage and it has a tenuous blood supply, similar to the scaphoid. The talus has seven articular surfaces and is divided into the head, neck and body, and
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Introduction Fractures of the femoral head are severe, but uncommon, injuries of the proximal femur, which typically occur after posterior dislocation of the hip joint. 1 – 3 In 1869, Birkett was the first to discover and document femoral
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders University, Adelaide, SA, Australia
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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