Humpback deformity of the scaphoid
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At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosuresAt the time the article was last revised Bahman Rasuli had no financial relationships to ineligible companies to disclose.
View Bahman Rasuli's current disclosures- Humpback deformity of scaphoid
- Scaphoid humpback
Humpback deformity of the scaphoid results from volar angulation of the proximal and distal poles of the scaphoid in the setting of scaphoid fracture through the waist 1. The dorsal component forms a 'humpback' which can be palpated.
It is important to identify as it can result in a progressive collapse of the scaphoid with non-union, and even if an eventual union is achieved, destabilisation of the wrist 2. It is commonly associated with dorsal intercalated segment instability (DISI).
As such, these fractures are managed operatively with internal fixation with or without bone grafting.
References
- 1. Goldfarb CA, Yin Y, Gilula LA et-al. Wrist fractures: what the clinician wants to know. Radiology. 2001;219 (1): 11-28. Radiology (full text) - Pubmed citation
- 2. Bucholz RW, Heckman JD. Rockwood and Green's fractures in adults. (2009) ISBN:1605476773. Read it at Google Books - Find it at Amazon
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