The vascularity of the scaphoid bone

Gelberman, Richard H.; Menon, Jayasanker

doi:10.1016/s0363-5023(80)80087-6

Cited by 500 publications

(203 citation statements)

References 6 publications

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“…There are several potential etiologies for the development of AVN in this patient. One possibility is that surgical exposure may have disrupted the major blood supply to the scaphoid, the dorsal ridge vessels [4,10,18]. Additionally, the SL screw insertion itself may have directly disrupted intraosseous vascular channels to the scaphoid.…”

Section: Discussionmentioning

confidence: 99%

Avascular Necrosis of the Scaphoid following a Scapholunate Screw: A Case Report

Vitale

Shin

2012

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 99%

Avascular Necrosis of the Scaphoid following a Scapholunate Screw: A Case Report

Vitale

Shin

2012

Hand (New York, N,Y.)

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“…The majority of the blood supply to the scaphoid is from the dorsal carpal branch of the radial artery [14]. The dorsal carpal branch enters the nonarticular dorsal ridge and supplies 80% of the scaphoid through retrograde blood flow.…”

Section: Anatomymentioning

confidence: 99%

“…Scaphoid fractures that are treated within 4 weeks from injury have a significantly higher union rates than in those whose treatment begins after 4 weeks [14]. Failure to recognize a scaphoid fracture may result in humpback deformity of the scaphoid and dorsal angulation of the lunate (DISI deformity).…”

Section: Treatmentmentioning

confidence: 99%

Scaphoid fractures in the athlete

Winston

Weiland

2017

Curr Rev Musculoskelet Med

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Scaphoid fractures are a common wrist injury, especially in athletes. Clinicians should have a high index of suspicion for a scaphoid fracture in any patient complaining of radial-sided wrist pain after a fall on an outstretched hand. Advanced imaging, including CT and MRI scans, may be useful in diagnosis and classification of fracture patterns. Treatment varies based on the fracture location, stability of the fracture, and predictability of the fracture to heal. Treatment involves either non-operative management with a thumb spica cast or brace, or operative fixation with a headless compression screw, k-wires, or scaphoid-specific plates. Return to play is dependent on many variables, including sport, fracture union, and ability to play with cast.

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“…Timely diagnosis and treatment of these fractures is critical due to its tenuous retrograde vascularity and well-documented risk for nonunion with progression to wrist arthritis [3][4][5][6][7]. Appropriate physical examination, clinical suspicion and radiographic evaluation prevent the common misdiagnosis of "wrist sprain".…”

Section: Scaphoid Fracturementioning

confidence: 99%

Sports injuries of the wrist

Fufa

Goldfarb

2012

Curr Rev Musculoskelet Med

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Sports injuries involving the hand and wrist are common and, as a result, many different practitioners (athletic trainers, physical therapists, primary care physicians, general orthopedic surgeons) will encounter these injuries. In addition to thorough evaluation, an understanding of typical pathologies seen in the athlete enhances diagnosis and facilitates appropriate, expedient management. These injuries are complex because they can be either acute traumatic or repetitive in origin and often involve both the bony skeleton and soft tissues. This article provides a review of athletic injuries to the wrist with particular focus on physical evaluation and management of the most common and challenging fractures and soft tissue injuries.

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The vascularity of the scaphoid bone

Cited by 500 publications

References 6 publications

Avascular Necrosis of the Scaphoid following a Scapholunate Screw: A Case Report

Avascular Necrosis of the Scaphoid following a Scapholunate Screw: A Case Report

Scaphoid fractures in the athlete

Sports injuries of the wrist

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