Resection of the scaphoid distal pole for symptomatic scaphoid nonunion after failed previous surgical treatment

The Journal of Hand Surgery
David S Ruch, Anastasios Papadonikolakis

Abstract

To evaluate the results of resection of the scaphoid distal pole for symptomatic scaphoid nonunion after failed prior surgical treatment. Thirteen patients who were treated with resection of the scaphoid distal pole for persistent nonunion after previous surgical treatment were included in this study. The mean follow-up period was 5 years. Evaluation included measurement of wrist range of motion, assessment of pain, and evaluation of radiographic parameters. The Disabilities of the Arm, Shoulder, and Hand score was used to determine the functional outcome after the excision. Before surgery all but 1 patient reported pain. After surgery 2 patients presented with mild pain during strenuous activity. Mean wrist flexion and extension increased significantly, by 23 degrees and 29 degrees, respectively. The postoperative Disabilities of the Arm, Shoulder, and Hand score was 25 +/- 19 points. There was a significant increase in the radiolunate angle, indicating dorsal intercalated segment instability deformity in 6 patients. Scaphoid distal pole excision remains a valuable treatment option for patients for whom multiple attempts at union have failed previously and who have no associated complete scapholunate ligament tears. Therapeuti...Continue Reading

References

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Citations

Apr 2, 2009·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroshi MatsukiHitoshi Hirata
Jan 18, 2013·Current Reviews in Musculoskeletal Medicine·Chirag M Shah, Peter J Stern
Jul 6, 2012·The Journal of Hand Surgery·Matthew S Zimmermann, Arnold-Peter C Weiss
Aug 27, 2014·The Journal of Hand Surgery·Matthew M MalerichRichard G Eaton
May 8, 2007·The Journal of Hand Surgery·Krista E Weiss, Craig M Rodner
Nov 3, 2017·Hand : Official Journal of the American Association for Hand Surgery·Merel J-L BerkhoutMarco J P F Ritt
Nov 16, 2018·The Journal of Hand Surgery Asian-Pacific Volume·Ji Hyun Yeo, Jin Young Kim
Mar 19, 2019·Hand : Official Journal of the American Association for Hand Surgery·Katherine C Faust, Gary M Lourie
Dec 5, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Kaissar Yammine
Jul 22, 2014·JBJS Reviews·Peter C RheeAllen T Bishop
Feb 22, 2018·Hand : Official Journal of the American Association for Hand Surgery·Cory K MayfieldAmir Mostofi
Oct 28, 2020·Hand : Official Journal of the American Association for Hand Surgery·Assaf KadarNina Suh
Mar 20, 2019·Current Rheumatology Reviews·Peter C Rhee, Steven L Moran
Oct 10, 2012·The Journal of Hand Surgery·Robin N KamalMarc Garcia-Elias

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