Pediatric Fractures of the Hand, Wrist, Forearm, and Elbow-Cas:e Scaphoid nonunions

Cas:e Scaphoid nonunions

Pdf Summary

A 16-year-old male presented with a wrist injury that occurred more than 6 months prior. He was diagnosed with a proximal pole nonunion and was recommended for open reduction, bone grafting, and screw fixation. In young adults, good results can often be achieved without the need for vascularized grafting. The patient underwent surgery with autograft bone selected, being careful to stay proximal to the growth plate if it was still open. Intraoperative images showed good screw position and filling of the defect with autograft. <br /><br />Key points to consider with scaphoid nonunions in adolescents are that non-vascularized bone graft remains a good first option, an MRI may be necessary for evaluating avascular necrosis in the proximal pole, and any humpback deformity should be corrected.

Keywords

wrist injury

proximal pole nonunion

open reduction

bone grafting

screw fixation

vascularized grafting

autograft bone

growth plate

intraoperative images

scaphoid nonunions