The Management of the Healed Scaphoid Malunion: What to Do?

Chelsea C. Boe, Peter C Amadio, Sanjeev Kakar

Research output: Contribution to journalReview article

Abstract

Successful bone union is only a portion of scaphoid fracture management. Malunion is possible and can alter wrist kinematics, potentially causing wrist pain and accelerated degeneration. Evaluation of scaphoid malunion begins with adequate imaging and understanding of deformity. Treatment includes nonoperative management, reconstruction, or salvage options. Correction of malunion can be obtained with an osteotomy and the use of structural graft to recreate anatomy and restore normal carpal motion. Clinical improvement of symptomatic scaphoid malunion can be reliably obtained with reconstruction, although the natural history and role for intervention in asymptomatic malunions remains unclear.

Original languageEnglish (US)
JournalHand Clinics
DOIs
StatePublished - Jan 1 2019

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Keywords

  • Carpal collapse
  • Corrective osteotomy
  • DISI
  • Scaphoid malunion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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