[Treatment options for scaphoid nonunion advanced collapse]

Unfallchirurg. 2019 Mar;122(3):211-218. doi: 10.1007/s00113-019-0631-y.
[Article in German]

Abstract

Untreated scaphoid nonunion as a rule results in subsequent scaphoid nonunion advanced collapse (SNAC) wrist. While reconstructive treatment of the scaphoid in association with resection of the styloid process of the radius is still promising in stage I SNAC wrist, salvage procedures are available for higher degrees of SNAC wrist to reduce pain and to preserve the function of the wrist. Denervation, proximal row carpectomy and partial wrist fusion maintain wrist mobility. Total wrist arthrodesis and total wrist arthroplasty are salvage procedures in cases of panarthritis or failed motion-preserving procedures.

Keywords: Arthrodesis; Reconstructive surgical; Salvage procedure; Scaphoid fracture; Wrist.

Publication types

  • Review

MeSH terms

  • Arthrodesis
  • Arthroplasty, Replacement*
  • Carpal Bones*
  • Range of Motion, Articular
  • Scaphoid Bone*
  • Wrist Joint