Avascular Necrosis of the Scaphoid-Preiser Disease: Outcomes of 39 Surgical Cases.

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Abstract

[Indexed for MEDLINE] 16. Handchir Mikrochir Plast Chir. 2005 Apr;37(2):79-84. doi: 10.1055/s-2005-837558. [Fractures of the scaphoid tubercle]. [Article in German] Kraus R(1), Böhringer G, Meyer C, Stahl JP, Schnettler R. Author information: (1)Klinik und Poliklinik für Unfallchirurgie, Justus-Liebig-Universität Giessen. Ralf.Kraus@chiru.med.uni-giessen.de BACKGROUND: Avulsion fractures of the scaphoid tubercle (Herbert type A1) are rare. Recommendations in the literature focus on a four to six week plaster immobilization including the thumb. Surgery is recommended in case of additional injuries to the carpus. MATERIAL AND METHODS: In a retrospective investigation including a 36 month period we reviewed acute fractures of the scaphoid and avulsion fractures of the scaphoid tubercle. RESULTS: We found 81 acute scaphoid fractures, four of them (4.9 %) were isolated tuberculum avulsions. Three cases were extra-, one case an intraarticular fracture. The first were treated conservatively, the last with a percutaneous screw. CONCLUSIONS: Following our own experiences with those rare injuries we recommend a differentiation of the fracture type into extraarticular injuries where conservative treatment should still be performed and intraarticular fractures where percutaneous screw osteosynthesis should be discussed. DOI: 10.1055/s-2005-837558