Segmental Scaphoid Fracture treated with One Headless Screw: A Case Report

Abstract

Background:The scaphoid is the most frequently fractured carpal bone, accounting for 71% of all carpal bone fractures. Scaphoid fractures often occur in young and middle-aged adults, typically those aged 15-60 years, after a fall on an outstretched arm that results in acute dorsal flexion of the wrist. Early diagnosis of a scaphoid fracture is important because nonunions is more likely if treatment is delayed.Aim: To report a case presented with Segmental scaphoid fracture treated with one headless Screw. Results:A 38 Saudi female present as case of left-hand swelling and pain for 1 day ago. The pain localized at volar of left hand at wrist which started after falling down. Clinical examination revealed inception with swelling close injury but no change in color. palpation revealed soft distal compartment tenderness distal with intact movement and limit rom. The patients undergone X-ray at ER and diagnosed to have Segmental scaphoid fracture. Started by conservative treatment with long arm spica. After 1 month, treating team decided for surgical intervention through dorsal approach to scaphoid and fixation by headless screw.