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We hypothesize that placement of the screw through the scaphoid tuberosity will achieve perpendicular fixation of an oblique waist fracture and result in more stable fixation than a screw in the center of the proximal fragment.
Through a dorsal approach, the scaphoid waist fracture was reduced and fixed with a Herbert screw.
Figure 5 Magnetic resonance imaging (patient D) of a waist fracture of the scaphoid.
A scaphoid waist fracture with displacement in which the proximal and distal poles are malaligned is seen as an indication for surgery [ 1].
Similar(56)
Volar percutaneous screw fixation (PSF) of acute nondisplaced scaphoid waist fractures allows early mobilisation of the wrist and a faster return to work than prolonged cast immobilisation.
By efficiently restricting the inter-fragmentary shear, the new screws may be clinically advantageous when the inter-fragmentary compression force is partially or completely lost and may provide further benefits toward earlier and better healing of transverse waist fractures of the scaphoid.
How to best manage minimally displaced scaphoid waist fractures remains unclear.
The literature lacks the exact definition of minimally displaced scaphoid waist fractures.
Traditional cast treatment for minimally displaced scaphoid waist fractures is considered reliable and inexpensive, with low complication rates.
Sixty patients with acute undisplaced and minimally displaced scaphoid waist fractures, with a mean age of 27 years, were recruited.
Fifty-three patients, mean age 31 years) with undisplaced and minimally displaced acute scaphoid waist fractures were recruited.
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