scholarly journals Scaphoid Fracture Reconstruction with Rib Autograft: Case Report and Literature Review

2021 ◽  
Vol 20 (1) ◽  
pp. 32-40
Author(s):  
Mantas Fomkinas ◽  
Mantas Kievišas ◽  
Kęstutis Braziulis ◽  
Rytis Rimdeika
Keyword(s):  
Literature Review ◽  
Bone Fractures ◽  
Case Reports ◽  
Scaphoid Fracture ◽  
Adverse Outcomes ◽  
Scaphoid Bone ◽  
Proximal Pole ◽  
Function Score ◽  
Osteochondral Autograft ◽  
Wrist Function

Objective. To evaluate the results of scaphoid bone proximal pole reconstruction with rib osteochondral autograft due to comminuted scaphoid fracture. Material and methods. We present a clinical case of fragmented scaphoid bone proximal pole fracture reconstruction by rib osteochondral autograft. The modified wrist function score of Green and O’Brien and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) outcome measuring scales were used for clinical evaluation before and 6 months after the reconstruction. Additio­nally, a literature review was conducted for case reports and previous literature reviews describing scaphoid bone proximal pole fracture surgical treatment. Medline (PubMed), ScienceDirect and UpToDate databases were used. Results. Conventional treatment methods for the treatment of comminuted proximal pole scaphoid bone fractures are often inappropriate due to technical issues or potential adverse outcomes. In these cases, reconstruction with rib autograft is possible. The study patient’s modified wrist function score of Green and O’Brien increased from 75 to 95 points out of 100 at 6 months postoperatively, and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score decreased from 13.64 to 4.55 points. The results of this technique have been investigated in several studies (Sandow, 1998, 2001; Veitch et al., 2007). All subjects (22, 47 and 14 patients, respectively), except one, experienced improvement of wrist function – enhanced wrist movement, grip strength, reduced pain and restored wrist function to the pre-injury performance level. Conclusions. Scaphoid bone proximal pole fragmented fracture reconstruction with osteochondrial rib autograft achieves favorable recovery of wrist function and avoids complications or unfavorable functional consequences of alternative surgical procedures.

Proximal Scaphoid Costo-Osteochondral Replacement Arthroplasty

1998 ◽  
Vol 23 (2) ◽  
pp. 201-208 ◽  
Author(s):  
M. J. SANDOW
Keyword(s):  
Grip Strength ◽  
Proximal Pole ◽  
Function Score ◽  
Scapholunate Ligament ◽  
Medium Term ◽  
Wrist Motion ◽  
Osteochondral Autograft ◽  
Replacement Arthroplasty ◽  
Wrist Function

Deficiency of the proximal pole of the scaphoid due to fracture or necrosis was treated by costo-osteochondral replacement arthroplasty using rib bone/cartilage autografts in 22 patients who were followed prospectively and assessed at a median 24 month follow-up (range, 12–72 months). Improvement of wrist function occurred in all patients with increased motion, improved grip strength and less pain. The average modified Green and O’Brien Wrist Function Score improved from 53 out of 100 preoperatively to 80 at the most recent review. All patients were graded fair or poor at initial review and all but three improved to good or excellent at the most recent assessment. Despite the absence of the scapholunate ligament, carpal alignment did not deteriorate in any patient and there were no graft non-unions or significant complications. In the short and medium term a costo-osteochondral autograft can satisfactorily restore mechanical integrity of the scaphoid proximal pole and maintain wrist motion while avoiding the potential complications of alternative replacement arthroplasty techniques.

Diagnostic Strategy for Suspected Scaphoid Fractures in the Presence of Other Fractures in the Carpal Region

2006 ◽  
Vol 31 (4) ◽  
pp. 416-418 ◽  
Author(s):  
F. J. P. BEERES ◽  
M. HOGERVORST ◽  
P. DEN HOLLANDER ◽  
S. J. RHEMREV
Keyword(s):  
Bone Scintigraphy ◽  
Bone Fractures ◽  
Scaphoid Fracture ◽  
Diagnostic Process ◽  
Scaphoid Bone ◽  
Diagnostic Strategy ◽  
X Rays ◽  
Scaphoid Fractures ◽  
Bone Injury ◽  
Suspected Scaphoid Fracture

Bone scintigraphy will identify up to 25% of occult scaphoid bone fractures after negative scaphoid X-rays. Consequently, it deserves a place in the diagnostic process of suspected scaphoid fractures. However, the role of bone scintigraphy is less clear if scaphoid X-rays show other fractures in the carpal region. We analysed 111 consecutive patients with a suspected scaphoid fracture on physical examination. Scaphoid X-rays revealed 61 fractures. Fifty-five patients had scaphoid fractures only and six patients had other fractures in the carpal region but no scaphoid fracture. In 50 cases, no bone injury was seen on these X-rays. In three out of the six patients with other fractures in the carpal region, bone scintigraphy revealed four occult concomitant fractures: one scaphoid, one scaphoid and trapezial and one capitate fracture. In conclusion, bone scintigraphy is required when scaphoid X-rays do not confirm a suspected scaphoid fracture, even in the presence of other fractures in the carpal region.

Capitate and Hamate Fracture. Case Study

2020 ◽  
Vol 22 (2) ◽  
pp. 143-149
Author(s):  
Ricardo Luiz Ramos Filho ◽  
Jefferson Santos De Jesus ◽  
Joao Claudio Ferreira Miranda ◽  
Victor Azuréu Barcelos ◽  
Diego Bento De Oliveira
Keyword(s):  
Bone Fractures ◽  
Case Reports ◽  
Scaphoid Fracture ◽  
Plaster Cast ◽  
Carpal Bone ◽  
Direct Trauma ◽  
Satisfactory Outcome ◽  
Contralateral Hand ◽  
Carpal Bone Fractures ◽  
Hamate Fracture

Capitate and hamate fractures are infrequent injuries and are uncommon in isolation. A capitate fracture is usually associated with a scaphoid fracture. The primary mechanism of injury is a fall with the wrist in hyperextension. Other possible ways for capitate fractures are axial down trauma of the third metacarpal and direct trauma. Hamate fractures have a 2% incidence among carpal bone fractures, probably due to underreporting. They can occur on the hamate body or the hamulus or hook. Combined capitate and hamate fractures are uncommon and relevant studies, especially case reports, are scarce. We present a case report of a combined capitate and hamate fracture in a 44-year-old patient who suffered a direct trauma to the back of the hand during a fall. Following a clinical suspicion based on history and physical examination, radiographic and computed tomography (CT) studies were crucial for elucidating the case and proposed treatment, which involved ensuring absolute stability and performing an open reduction, using interfragmentary compression, with the Herbert bone screw implanted in each bone. After the surgical procedure, the patient wore a forearm plaster cast splint for four weeks. A satisfactory outcome was obtained in three months, with a complete range of motion and preserved force compared to the contralateral hand.

Giant Cell Tumor of Triquetrum: A Case Report with Literature Review

2020 ◽  
Author(s):  
Mohammed T. Ansari ◽  
Vijay K. Digge ◽  
Asjad Mahmood
Keyword(s):  
Literature Review ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Case Reports ◽  
Cell Tumor ◽  
Carpal Bone ◽  
Scaphoid Bone ◽  
Intralesional Curettage ◽  
High Tendency ◽  
Long Term Study

Abstract Background Giant cell tumor (GCT) of bone is a benign, aggressive tumor of bone and occurs commonly around the knee and distal radius. GCT of bone rarely occurs in hand. In hand, metacarpals are the most common site and there have been only a few case reports of GCT of the carpal bone. In hand, these tumors are very aggressive and these have a high tendency to recur after intralesional curettage. No long-term study is available for choosing an appropriate method of treatment for these tumors in hand. Case Description Herein, we report a case of GCT of the bone involving triquetrum which was managed by excision of triquetrum and scaphoid bone. The reconstruction of the wrist was done through limited carpal fusion, by doing three corner fusion of the wrist. At 2 years after surgery, the patient was asymptomatic and radiographs revealed fusion of lunocapitate and lunohamate joints with no evidence of recurrence. Literature review Current literature regarding GCT of triquetrum includes case reports that are reviewed in this report. Clinical Relevance This case illustrates the successful treatment of GCT of triquetrum, which is a rare tumor. Three-corner fusion is a reliable and reproducible procedure that has been used for other arthritic conditions. The use of three corner fusion procedure can be extended to GCT of carpal bones. It has been a motion-preserving alternative to proximal row carpectomy (PRC).

scholarly journals Fractures of the scaphoid, diagnosis and managementa review

2013 ◽  
Vol 60 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Sladjana Andjelkovic ◽  
Cedo Vuckovic ◽  
Aleksandar Lesic ◽  
Goran Tulic ◽  
Suzana Milutinovic ◽  
...  
Keyword(s):  
Scaphoid Fracture ◽  
Delayed Union ◽  
Adverse Outcomes ◽  
Scaphoid Bone ◽  
Wrist Injuries ◽  
Delay In Diagnosis ◽  
Scaphoid Fractures ◽  
Radiocarpal Joint ◽  
High Index Of Suspicion ◽  
Loss Of Motion

The scaphoid is vitally important for the proper mechanics of wrist function. Fracture of the scaphoid bone is the most common carpal fracture. Among all wrist injuries the incidence of scaphoid fracture is second only to fractures of the distal radius. Scaphoid fractures are significant because a delay in diagnosis can lead to a variety of adverse outcomes that include nonunion, delayed union, decreased grips strength, range of motion and osteoarthritis of the radiocarpal joint. To avoid missing this diagnosis, a high index of suspicion and a through history and physical examination are necessary, because initial radiographs are often negative. Regardless of the technique of bone grafting, there will almost always be some loss of motion even if the fracture unites.

scholarly journals Scaphoid Fracture in a Patient with a Scaphotrapezial Synostosis: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Soliman Noureldin ◽  
Mohammed Ali ◽  
Farshid Fallahi ◽  
Thomas Dehler
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Congenital Anomalies ◽  
Scaphoid Fracture ◽  
Multiple Congenital Anomalies ◽  
Proximal Pole ◽  
Left Wrist ◽  
Hereditary Syndrome ◽  
Satisfactory Outcome

Introduction. Scaphotrapezial synostosis has been rarely reported in the literature and only one case underwent surgical treatment for scaphoid fracture. Presentation of Case. A 15-year-old male presented with a painful left wrist following a fall. The initial radiographs showed a displaced scaphoid proximal pole fracture and a Scaphotrapezial synostosis. The fracture was then fixed percutaneously with satisfactory outcome. Discussion. Scaphotrapezial synostoses are very rare and most found in patients with multiple congenital anomalies or as part of a hereditary syndrome. They have previously been reported; however, we found only one case reporting a concomitant scaphoid fracture. Conclusion. This is the second case of its kind to report surgical treatment of scaphoid fracture associated with a congenital Scaphotrapezial synostosis.

Reticular erythematous mucinosis: Literature review and case report of a 24-year-old patient with systemic erythematosus lupus

Lupus ◽  
2020 ◽  
pp. 096120332096570
Author(s):  
Juliana P Ocanha-Xavier ◽  
Camila O Cola-Senra ◽  
Jose Candido C Xavier-Junior
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Literature Review ◽  
English Language ◽  
Case Reports ◽  
Histopathological Diagnosis ◽  
Skin Disorders ◽  
Histopathological Findings ◽  
Inflammatory Skin

Reticular erythematous mucinosis (REM) was first described 50 years ago, but only around 100 case reports in English have been published. Its relation with other inflammatory skin disorders is still being debated. We report a case of REM, including the clinical and histopathological findings. Also, a systematic review of 94 English-language reported cases is provided. The described criteria for clinical and histopathological diagnosis are highlighted in order to REM can be confidently diagnosed.

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