Fracture Fixation ; Fractures, Bone ; surgery ; Humans ; Scaphoid Bone ; injuries ; surgery ; Wrist Injuries ; surgery

OBJECTIVE: To explore the key points of injury mechanism of scaphoid fracture in forensic expertise and to provide the references for forensic practices. METHODS: Forty-three cases of injury mechanism identification of scaphoid fracture were selected from 2007 to 2011 in Institute of Forensic Evidence, Chinese Criminal Police Academy. Following aspects were analyzed: missed diagnosis and misdiagnosis at first visit, fracture classifications, accompanying injuries and mechanism of injury. RESULTS: The rates of missed diagnosis and misdiagnosis were high in the cases of scaphoid fractures, most common in the fracture of the waist. The disagreement on mechanism of injury was whether it was due to direct impact or indirect effect by falling. CONCLUSION Wrist hyperextension due to fall with palm impact on the ground was the main cause of scaphoid fracture.
Diagnostic Errors ; Forensic Pathology ; Fractures, Bone ; Humans ; Scaphoid Bone/injuries* ; Wrist Injuries ; Wrist Joint

Scaphoid stress fracture is rare and occurs mainly in gymnasts. The current literature has only two reported cases: unilateral scaphoid stress fracture in a platform diver and bilateral scaphoid stress fracture in a gymnast. We herein report bilateral stress fracture of the scaphoid in a platform diver who presented with only one symptomatic side. Our patient was a 16-year-old competitive platform diver with an 18-month history of pain in the right wrist. Radiography revealed fracture of the right scaphoid at the waist. As part of our preoperative plan of measuring the scaphoid length to determine the appropriate screw, radiography of the contralateral side was performed, revealing an unexpected fracture of the left scaphoid. Due to the frequency of stress fractures in competitive sports, especially gymnastics, we recommend that bilateral scaphoid radiography be performed for athletes presenting with a unilateral scaphoid fracture, to avoid missing a fracture in the contralateral side.
Adolescent ; Diving ; injuries ; Fractures, Stress ; diagnostic imaging ; surgery ; Humans ; Male ; Radiography ; Scaphoid Bone ; injuries ; surgery

The forearm distal bone fracture is the most com-mon fracture in children. Scaphoid frac-ture is rare because the scaphoid is largely cartilaginous in children. Some cases associating both distal radius and scaphoid fractures were reported in the literature. Scaphoid fracture often occurs without displacement and can be easily overlooked. We reported a case of children wrist injury combining scaphoid fracture with ipsilateral distal fracture.
Adolescent ; Fractures, Bone ; therapy ; Humans ; Male ; Manipulation, Orthopedic ; Radius Fractures ; therapy ; Scaphoid Bone ; injuries

Adult ; Fracture Fixation, Internal ; Humans ; Joint Dislocations ; surgery ; Male ; Scaphoid Bone ; injuries ; surgery

Adolescent ; Adult ; Female ; Fracture Fixation, Internal ; methods ; Humans ; Male ; Middle Aged ; Scaphoid Bone ; injuries

Adult ; Fracture Fixation, Internal ; Fractures, Ununited ; surgery ; Humans ; Male ; Scaphoid Bone ; injuries ; surgery

Fracture Fixation ; instrumentation ; methods ; Fractures, Bone ; surgery ; Humans ; Scaphoid Bone ; injuries ; surgery ; Wrist Injuries ; surgery ; Wrist Joint ; surgery

Adult ; Carpal Bones ; injuries ; External Fixators ; Female ; Humans ; Joint Dislocations ; therapy ; Lunate Bone ; injuries ; Male ; Manipulation, Orthopedic ; methods ; Middle Aged ; Scaphoid Bone ; injuries ; Wrist Injuries ; therapy

OBJECTIVETo investigate application of the bone flap pedicled on the retrograde branch of radial artery for treatment of old scaphoid bone fractures of type AO-B.

METHODSFrom October 2007 to October 2011,41 patients with old scaphoid bone fractures of type AO-B were treated by transplantation of the bone flap pedicled on the retrograde branch of radial artery including 26 males and 15 females with an average of (27.3±4.5) years old ranging from 16 to 43 years old. The courses before operation ranged from 6 to 22 months with an average of 11 months. All fractures belonged to the type B of AO classification, that is old wrist fracture of scaphoid bone. All patients' wrist function (pain, function, motion, grip strength) were evaluated by Cooney's modifiedwrist scoring system before and 6 months after operation,and the conditions of bone healing were observed during the follow-up time.

RESULTSAmong them, 36 patients were followed up from 4 to 15 months with an average of 8.3 months. The wounds were healed well without other complications as infection appearing. X-rays or CT confirmed that all fractures were healed completely. The Cooney wrist score was improved from preoperative 53.61±13.97 to postoperative 81.81±8.71 (P<0.01).

CONCLUSIONThe operation of transplantation of the bone flap pedicled on the retrograde branch of radial artery is an effective method to treat old scaphoid bone fractures,which is scientific and has curative effects, and valuable for clinical application.

Adolescent ; Adult ; Female ; Fractures, Bone ; surgery ; Humans ; Male ; Radial Artery ; injuries ; surgery ; Scaphoid Bone ; blood supply ; injuries ; surgery ; Surgical Flaps ; Wrist Injuries ; surgery ; Young Adult