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Wrist arthritis associated with scaphoid nonunion.
1Department of Orthopedic Surgery, Tufts University School of Medicine, Boston, Massachusetts.
Hand Clinics
|November 1, 1987
Summary
Old scaphoid nonunion often leads to wrist arthritis. Wrist arthrodesis is the preferred treatment for most patients experiencing pain from this condition.
Area of Science:
- Orthopedic Surgery
- Hand and Wrist Surgery
- Musculoskeletal Research
Background:
- Scaphoid nonunion, a common wrist injury, significantly increases the risk of developing wrist arthritis.
- While some patients with scaphoid nonunion are asymptomatic, others experience debilitating pain necessitating medical intervention.
Purpose of the Study:
- To review the treatment options for old scaphoid nonunion.
- To highlight the preferred surgical approach for managing symptomatic scaphoid nonunion and subsequent wrist arthritis.
Main Methods:
- Literature review of treatment modalities for scaphoid nonunion.
- Clinical experience and preference for surgical intervention in managing chronic scaphoid nonunion.
Main Results:
- Old scaphoid nonunion is a precursor to wrist arthritis.
- Various treatment options exist, but surgical intervention is often required for symptomatic relief.
Conclusions:
- Wrist arthritis is a common complication of untreated scaphoid nonunion.
- Wrist arthrodesis is recommended as the primary treatment for most patients with symptomatic old scaphoid nonunion.