手関節鏡下骨移植による舟状骨偽関節治療後の職場復帰およびスポーツ復帰

This study aims to assess the rates of return to work and sports participation following arthroscopic bone grafting for severe scaphoid nonunion.

We conducted a retrospective analysis of patients treated for scaphoid nonunion from 2017 to 2024, with a minimum follow-up of one year. All patients underwent arthroscopic repair utilizing an olecranon bone graft and antegrade screw fixation. Employment status and sports participation prior to the diagnosis of nonunion were documented and evaluated at final follow-up.

A total of 21 patients met the inclusion criteria. Before the diagnosis of scaphoid nonunion, 18 patients (85.7%) were employed, with 2 (11.1%) not returning to work. Seventeen patients (80.9%) participated in sports prior to nonunion. At the final follow-up, one patient (5.8%) was unable to resume sports, while two patients (11.7%) modified their activities due to ongoing wrist discomfort during pre-injury sports.

The arthroscopic management of scaphoid nonunion resulted in significant functional recovery, with an 88.9% return-to-work rate and a 94.2% return-to-sport rate.

IV.