Update on Management of Scaphoid Fractures | Journal CME Article-43260

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Video Summary

An 18-year-old male with wrist pain from a fall was diagnosed with a proximal pole scaphoid fracture, initially not detected in ER x-rays. CT confirmed a non-displaced fracture. Due to the risk of nonunion, he underwent open reduction internal fixation surgery via a dorsal approach. Key surgical steps included: marking incision, accessing via the retinaculum, viewing extensor tendons, positioning the guide wire, and using fluoroscopy to ensure correct screw placement. A headless compression screw was inserted, and its position confirmed to avoid complications. The procedure concluded with joint irrigation, closure, and placing a thumb spica splint.

Keywords

proximal pole scaphoid fracture

open reduction internal fixation

headless compression screw

dorsal approach surgery

thumb spica splint