Patterns of union in fractures of the waist of the scaphoid

J Bone Joint Surg Br. 1989 Mar;71(2):307-10. doi: 10.1302/0301-620X.71B2.2925752.

Abstract

Eighty-two of 85 patients who had sustained a fracture of the waist of the scaphoid in 1985 were reviewed more than one year after injury. The incidence of nonunion, defined as a clear gap at the fracture site one year after injury, was 12.3%. This was much higher than expected. Most of the patients with nonunion had symptoms and had appreciable restriction of wrist movement. In a further 25% of the patients at review, the site of the fracture could be easily identified although it appeared to have healed. These patients were older and more of them were women. Three-quarters of these patients had symptoms but their wrist movement was essentially normal.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Carpal Bones / diagnostic imaging
  • Carpal Bones / injuries*
  • Child
  • Female
  • Follow-Up Studies
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / physiopathology*
  • Fractures, Ununited / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Wound Healing*