Case Studies – Scaphoid Fracture

When the scaphoid bone is broken, it may not heal properly because it has a very fragile blood supply. Scaphoid fractures (i.e within 7 to 10 days) that do not heal are referred to as a scaphoid non-union. Ultimately, scaphoid non-unions can lead to loss of wrist motion and eventual wrist arthritis.

Undisplaced and acute waist fractures can be treated conservatively, however displaced fractures have to be fixed. If reduction is achieved then percutaneous technique can be used for fixation

If the fracture is displaced then Orif and fixation with bone graft and screw. If the fracture is more than 3 months then we perform Orif with curreting fracture site with bone graft. However if proximal pole non union then the last line continues. In proximal pole  non-union the vascularity is disturbed and union is an issue. In such cases  we prefer vascularized bone graft 1,2 ICSRA (Intercompartmental Supraretunacular Artery)