scholarly journals Rare Simultaneous Occurrence of Trapezoid and Scaphoid Fractures

2020 ◽  
Vol 7 (3) ◽  
pp. 135-140
Author(s):  
Hamidreza Dehghani Nazhvani ◽  
◽  
Sam Bemani Lirgeshasi ◽  
Milad Bahari ◽  
◽  
...  
Keyword(s):  
Functional Recovery ◽  
Rare Case ◽  
Scaphoid Fracture ◽  
Simultaneous Occurrence ◽  
Percutaneous Fixation ◽  
Compression Screw ◽  
Scaphoid Fractures

Isolated fractures of the trapezoid are very rare. Of all of the fractures of the carpus, the most common happens for the scaphoid, which represents 68.2% of all carpal fractures. In contrast, trapezoid fractures represent 0.4% of all carpal injuries. We present a rare case of a trapezoid fracture associated with a scaphoid fracture that was successfully treated with percutaneous fixation with a headless cannulated compression screw and the patient had a full functional recovery.

scholarly journals Trapezoid Fracture Associated with Scaphoid Fracture in a Football Goalkeeper

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Tetsuya Yamamoto ◽  
Takehiko Matsushita ◽  
Kenjiro Ito ◽  
Shinji Matsushima ◽  
Kazuya Yoshida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Open Reduction ◽  
Rare Case ◽  
Scaphoid Fracture ◽  
Simultaneous Occurrence ◽  
Cannulated Screws ◽  
Case Presentation ◽  
Plain Radiographs ◽  
Scaphoid Fractures ◽  
The Right

Introduction. Trapezoid fractures are uncommon in sports. We presented a rare case of a trapezoid fracture associated with a scaphoid fracture caused by punching a ball in a football goalkeeper. Case Presentation. A 19-year-old male who played as a football goalkeeper visited our hospital with complaints of sustained pain from the right wrist to the hand after punching a ball. Scaphoid fracture was diagnosed on plain radiographs, whereas trapezoid fracture was overlooked. Computed tomography revealed a displaced trapezoid fracture associated with a scaphoid fracture. Both fractures were successfully treated by open reduction and internal fixation using cannulated screws. Almost complete bone union was achieved at 5 months after surgery. The patient returned to play as a football goalkeeper. Conclusion. The simultaneous occurrence of trapezoid and scaphoid fractures has never been reported. Trapezoid fractures are rare and can be overlooked on plain radiographs, as what happened in the present case, because the trapezoid is small and overlaps with other carpal bones on plain radiographs. If there is sustained pain in the wrist and hand after punching, combined trapezoid and scaphoid fractures should be considered as the possible injury.

scholarly journals Using a tightRope® to treat a complex fracture of the trapezium

2014 ◽  
Vol 96 (7) ◽  
pp. e36-e38 ◽  
Author(s):  
ME Shenouda ◽  
A Mohan ◽  
T Sarkhel
Keyword(s):  
Functional Recovery ◽  
Index Finger ◽  
Scaphoid Fracture ◽  
Percutaneous Fixation ◽  
Complex Fracture ◽  
Trapezium Fracture

We present the case of a 23-year-old man with a combined scaphoid fracture and comminuted trapezium fracture, treated surgically with percutaneous fixation of the scaphoid fracture and concomitant Arthrex Mini TightRope® stabilisation of base of thumb metacarpal to base of index finger metacarpal. The patient made a good functional recovery, returning to usual activities within six weeks. We suggest that this technique could be used to treat complex trapezium fractures that cannot be reconstructed with surgery.

Early results of a new implant: 3.0 mm headless compression screw for scaphoid fracture fixation

2012 ◽  
Vol 37 (7) ◽  
pp. 690-693 ◽  
Author(s):  
K. Singisetti ◽  
E. Aldlyami ◽  
A. Middleton
Keyword(s):  
Internal Fixation ◽  
Fracture Fixation ◽  
Scaphoid Fracture ◽  
Compression Screw ◽  
Headless Compression Screw ◽  
Scaphoid Fractures ◽  
Early Results ◽  
Fracture Nonunions ◽  
Radiological Healing ◽  
Vascularized Bone

There has been a considerable evolution of screws used for internal fixation of scaphoid fractures. We discuss here, early results of a recently introduced implant Synthes 3.0 mm headless compression screw used for scaphoid fracture fixation. Twenty eight patients with scaphoid fractures (five acute and 23 nonunions) were treated with internal fixation by this non-variable pitch screw over a period of 18 months. All nonunions had pedicle vascularized bone grafting. All five patients with acute scaphoid fracture fixation had radiological healing at a mean of 8 weeks. Fifteen of 23 scaphoid fracture nonunions showed definite signs and a further seven showed probable signs of radiological healing at a mean of 8 months. One nonunion has failed to unite after surgery.

MINIMAL INVASIVE PERCUTANEOUS HERBERT SCREW FIXATION IN ACUTE UNSTABLE SCAPHOID FRACTURE

Hand Surgery ◽  
2003 ◽  
Vol 08 (02) ◽  
pp. 213-218 ◽  
Author(s):  
In-Ho Jeon ◽  
Chang-Wug Oh ◽  
Byung-Chul Park ◽  
Joo-Chul Ihn ◽  
Poong-Taek Kim
Keyword(s):  
Screw Fixation ◽  
Scaphoid Fracture ◽  
Clinical Results ◽  
Minimal Invasive ◽  
Percutaneous Fixation ◽  
Fixation Technique ◽  
Fracture Union ◽  
Herbert Screw ◽  
Scaphoid Fractures ◽  
High Satisfaction

The purpose of this study is to document the percutaneous Herbert screw fixation technique with free-hand method to stabilise acute unstable scaphoid fractures and evaluated the clinical results. Thirteen patients with less than 14 day-old fractures were fixed by percutaneous Herbert screw and reviewed retrospectively for a minimum of 24 months (average, 37 months). All were men with an average age of 22 years. According to Herbert's classification, all fractures were classified as of the acute unstable (B2). Fracture union was achieved in all cases at a mean of 9.2 weeks (eight to 12 weeks). Return to work or school ranged from one day to three weeks according to their occupation. This percutaneous fixation technique using Herbert screw is a reliable and effective alternative for acute scaphoid fractures, which enables the patient to use the hand earlier with high satisfaction and minimum complication.

scholarly journals Impact of Screw Length on Proximal Scaphoid Fracture Biomechanics

2019 ◽  
Vol 08 (05) ◽  
pp. 360-365 ◽  
Author(s):  
Samik Patel ◽  
Juan Giugale ◽  
Nathan Tiedeken ◽  
Richard E. Debski ◽  
John R. Fowler
Keyword(s):  
Cyclic Loading ◽  
Fracture Fixation ◽  
Ultimate Load ◽  
Scaphoid Fracture ◽  
Fracture Site ◽  
Compression Screw ◽  
Headless Compression Screw ◽  
Scaphoid Fractures ◽  
Screw Length ◽  
Significant Difference

Background Proximal scaphoid fractures display high nonunion rates and increased revision cases. Waist fracture fixation involves maximizing screw length within the cortex; however, the optimal screw length for proximal scaphoid fractures remains unknown. Purpose The main purpose of this article is to compare stiffness and ultimate load for proximal scaphoid fracture fixation of various headless compression screw lengths. Methods Eighteen scaphoids underwent an osteotomy simulating a 7 mm oblique proximal fracture. Screws of three lengths (10, 18, and 24 mm) were randomly assigned for fixation. Each specimen underwent cyclic loading with stiffness calculated during the last loading cycle. Specimens that withstood cyclic loading were loaded to failure. Results No significant difference in stiffness between screw lengths was found. Ultimate load was significantly impacted by the screw length. A significant difference in ultimate load between a 10 and 24 mm screw was found; however, no significant difference occurred in ultimate load between an 18 and 24 mm screw. Conclusions No significant difference in stiffness between all groups could be due to similarities in purchase in the proximal aspect. The 10 mm screw withstanding less ultimate load compared to the 24 mm screw could be due to the 10 mm screw gaining less purchase on either side of the fracture site compared to the 24 mm screw. Lack of significant difference in ultimate load between the 18 and 24 mm screw could be occurring because the fracture site is closer to the 18 mm screw midpoint, as distal threads are engaged closer to the fracture. Clinical Relevance Maximizing screw length may not provide superior fixation biomechanically compared with fixation utilizing a 6 mm shorter screw for proximal scaphoid fractures.

scholarly journals Factors Associated with Scaphoid Nonunion following Early Open Reduction and Internal Fixation

2020 ◽  
Vol 09 (02) ◽  
pp. 141-149
Author(s):  
Pooja Prabhakar ◽  
Lauren Wessel ◽  
Joseph Nguyen ◽  
Jeffrey Stepan ◽  
Michelle Carlson ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Scaphoid Fracture ◽  
Receiver Operating Curve ◽  
Scaphoid Nonunion ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Fracture Location ◽  
Scaphoid Fractures ◽  
Time From Injury

Abstract Background Nonunion after open reduction and internal fixation (ORIF) of scaphoid fractures is reported in 5 to 30% of cases; however, predictors of nonunion are not clearly defined. Objective The purpose of this study is to determine fracture characteristics and surgical factors which may influence progression to nonunion after scaphoid fracture ORIF. Patients and Methods We performed a retrospective case–control study of scaphoid fractures treated by early ORIF between 2003 and 2017. Inclusion criteria were surgical fixation within 6 months from date of injury and postoperative CT with minimum clinical follow-up of 6 months to evaluate healing. Forty-eight patients were included in this study. Nonunion cases were matched by age, sex, and fracture location to patients who progressed to fracture union in the 1:2 ratio. Results This series of 48 patients matched 16 nonunion cases with 32 cases that progressed to union. Fracture location was proximal pole in 15% (7/48) and waist in 85% (41/48). Multivariate regression demonstrated that shorter length of time from injury to initial ORIF and smaller percent of proximal fracture fragment volume were significantly associated with scaphoid nonunion after ORIF (63 vs. 27 days and 34 vs. 40%, respectively). Receiver operating curve analysis revealed that fracture volume below 38% and time from injury to surgery greater than 31 days were associated with nonunion. Conclusion Increased likelihood for nonunion was found when the fracture was treated greater than 31 days from injury and when fracture volume was less than 38% of the entire scaphoid. Level of Evidence This is a Level III, therapeutic study.

Percutaneous Cannulated Screw Fixation of Acute Scaphoid Waist Fracture

2002 ◽  
Vol 27 (1) ◽  
pp. 42-46 ◽  
Author(s):  
H. S. F. YIP ◽  
W. C. WU ◽  
R. Y. P. CHANG ◽  
T. Y. C. SO
Keyword(s):  
Prospective Study ◽  
Functional Recovery ◽  
Screw Fixation ◽  
Cannulated Screw ◽  
Union Rate ◽  
Scaphoid Fractures ◽  
Mean Time ◽  
Radiological Union

This prospective study assessed the outcome of percutaneous cannulated screw fixation in 49 of 60 acute scaphoid fractures. The union rate was 100% (mean time for radiological union at 12 weeks). There were no early or mid-term complications and all achieved an excellent functional recovery.

scholarly journals A Case of Thyrotoxicosis due to Simultaneous Occurrence of Subacute Thyroiditis and Graves’ Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Kazunori Kageyama ◽  
Noriko Kinoshita ◽  
Makoto Daimon
Keyword(s):  
Thyroid Hormones ◽  
Thyroid Disease ◽  
Rare Case ◽  
Autoimmune Thyroid Disease ◽  
Subacute Thyroiditis ◽  
Simultaneous Occurrence ◽  
Graves Disease ◽  
Inflammatory Disorder ◽  
Autoimmune Thyroid ◽  
Prompt Diagnosis

Subacute thyroiditis is an inflammatory disorder of the thyroid. Graves’ disease is an autoimmune thyroid disease in which thyroid hormones are overproduced. Here we present a rare case of thyrotoxicosis due to the simultaneous occurrence of both diseases. Prompt diagnosis and therapy are required to prevent complications in patients with thyrotoxicosis.

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