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Medial femoral condyle free vascularized bone graft (courtesy of Prof. Jong Woong Park). (A) Scaphoid nonunion with failed 1,2 intercompartmental supraretinacular artery (1,2-ICSRA) vascularized bone graft. (B) Computed tomography (CT) scan showing cystic change, sclerosis and avascular necrosis suspected in the proximal fragment. (C) Wrist lateral view showing dorsal intercalated segmental instability. (D) CT scan showing scaphoid humpback deformity (arrow). (E, F) Postopreative 10 weeks, the X-ray showing successful scaphoid union with scaphoid length restored and humpback deformity corrected.
Source publication
Fracture of scaphoid is relatively common, and accurate and prompt diagnosis leads to bony union with good clinical outcome. However, it can be easily missed due to vague symptomatic complaints by patients, which in turn leads to negligence of a doctor in making the diagnosis or anatomical shape of scaphoid that causes minute fracture to be ignored...
