Scaphoid Fractures: What’s Hot, What’s Not by William B. Geissler, Julie E. Adams, Randy R. Bindra, William D. Lanzinger, and David J. Slutsky J Bone Joint.

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Presentation transcript:

Scaphoid Fractures: What’s Hot, What’s Not by William B. Geissler, Julie E. Adams, Randy R. Bindra, William D. Lanzinger, and David J. Slutsky J Bone Joint Surg Am Volume 94(2): January 18, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Positioning of the wires is verified with use of a portable image intensifier or mini C-arm in both posteroanterior and lateral views. William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Postoperative scaphoid series of radiographs demonstrate central screw placement within the scaphoid with use of the mini-open technique. William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

A twenty-year-old man with rheumatoid arthritis presented with a nine-month history of wrist pain following a fall on the wrist. William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

The patient underwent open reduction and internal fixation with iliac crest bone graft and placement of a compression screw. William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Volar vascularized bone graft (arrow) is elevated on the volar carpal artery pedicle held with the forceps. William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph demonstrating the relative ulnar position of the headless screw and the bone anchor that is used to prevent graft extrusion. William B. Geissler et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.