Journal of Musculoskeletal Trauma

Pediatric Fractures around the Wrist: Gihun Kim, Kun-Bo Park; J Korean Fract Soc 2021;34(2):80-86. Published online April 30, 2021; DOI: https://doi.org/10.12671/jkfs.2021.34.2.80

Abstract PDF: Fractures around the wrist are the third most common fracture among all pediatric fractures. Furthermore, distal radius fractures, a type of wrist fracture, are the most common fractures in children. Understanding pediatric fractures around the wrist is very important considering their prevalence. There is a specific belief that pediatric fractures can heal easily because of remodeling, but not all fractures can heal without proper treatment. Complications such as growth problems, nonunion can occur if the fracture is not treated properly. This paper reviewed recent articles about distal radius fractures, Galeazzi-equivalent fractures, and carpal bone fractures, including scaphoid fractures in children and adolescents. Successful treatment can be achieved without complications when an accurate diagnosis and proper non-surgical or surgical treatment are performed based on this article.

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Scaphoid Fractures and Nonunion: Jin Rok Oh; J Korean Fract Soc 2016;29(1):79-92. Published online January 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.1.79

Abstract PDF: 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 while viewing simple radiography. When missed, nonunion of scaphoid gradually progresses to arthritic change in the wrist. Thus when fracture of the scaphoid is suspected, further evaluation should be initiated with care, and if the diagnosis is confirmed, a proper treatment plan must be set with assessment of stability of the fracture fragment. Internal fixation is usually proposed since solid fixation of the fracture provides early return to daily activity. When nonunion of the scaphoid is present, most patients can achieve bony union with avascular bone graft and internal fixation. However, if there is sclerotic change, large bone cyst or avascular necrosis of the fracture fragment, internal fixation with bone graft that includes vascular supply should be introduced in order to achieve bony union.

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Ipsilateral Distal Radius and Scaphoid Fractures Associated with Posteromedial Dislocation of the Elbow Joint: A Case Report: Jin Wan Kim, Young Chul Ko, Chul Young Jung, Il Soo Eun, Young Jun Kim, Chang Kyu Kim; J Korean Fract Soc 2012;25(2):150-154. Published online April 30, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.2.150

Abstract PDF: Arm injuries occurring from high energy injuries such as falls or traffic accidents can be accompanied by wrist and elbow injuries. Monteggia fracture, Galeazzi fracture, and Essex-Lopresti fracture-dislocation are known some examples of such injuries. However, there are no reports on the dislocation of the elbow occurring from a distal radius fracture accompanied by scaphoid fracture, and there is nothing published about its prognosis. The authors report on the treatment and outcomes of a case of a 42-year-old male who had a distal radius and scaphoid fracture associated with posteromedial dislocation of the elbow on the same side of his arm along with a literature review.

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The Operative Treatment of Displaced Waist Fracture of Scaphoid: Kun Yung Lee, Young Kee Lee, Yong Man Cho, Heung Sik Kang, Cheon Dong Lee, Sang Su Oh; J Korean Soc Fract 1997;10(1):164-170. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.164

Abstract PDF: The authors surveyed the clinical study of 17 cases of scaphoid fractures from March 1989 to September 1994 with minimal 1 year follow up at Department of Orthopedic Surgery, Lee-Rha general Hospital. The following conclusions were obtained through clinical survey. 1. Of all 17 cases, they were 13 males and 4 females; Among the 13 males, 10 cases were aged between 20 and 39 years, forming 58.8% of all. 2. All 17 cases were treated by open reduction. Unions were obtained at average 11.5 weeks in 7 cases treated with Herbert screw fixation and 12 weeks in 10 cases treated with K-wire fixation. 3. Two of ten K-wire treated cases resulted in delayed union, one of seven Herbert screw treated cases resulted in delayed union. 4. Unions were obtained at average 20 weeks in 3 cases of delayed union. We concluded that open reduction and K-wire fixation were recomanded for the compatible treatment method of displaced waist fracture of scaphoid.

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Treatment of Carpal Scaphoid Fracture: Byoung Ho Lee, Dong Min Shin, Sang Ho Ha; J Korean Soc Fract 1996;9(2):274-282. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.274

Abstract PDF: We reviewed 32 cases of scaphoid fracture, treated from June, 1989 to June, 1994. The average follow up period from operation was 13 months. We analyed clinical result according to fracture classification and method of treatment. Nonsurgical treatment of displaced fracture generall gave poor result. In scaphoid fracture associated with complex injury open anatomic reduction and ligament repair was significantly better than conservative treatment. In the treasradial-styloid scaphoid fracture, anatomic reuduction and fixation of radial stloid is neccessory. To protect the misplacenlent of hardware, procisional K-wirc fixation and radiological confirmation will be indispellsable.

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Open Reduction & Internal Fixation for The Nonunion of Scaphoid Fracture: Eung Shick Kang, Ho Jeong Kang, Keun Soo Lee; J Korean Soc Fract 1996;9(1):8-14. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.8

Abstract PDF

Scaphoid fracture is the most common carpal bone fracture and at least 5% of acute fractures of the scaphoid fail to unite after conservative treatment. The failures have been attributed to delay in beginning treatment, inadequate immobilization, displacement of fragments, instability due to ligamentous injury, and inadequate blood supply of the proximal fragment. Previously, some authors reported several kinds of treatment mordality for nonunion of scaphoid. Of all the techniques that have been introduced, we have used open reduction and internal fixation (O/R & I/F) with autogenous iliac bone graft(AIBG). We reviewed the 10 cases of patients who underwent O/R & IT with K-wire or Herbert screw and A1BG from Jan 1985 to Aug 1994. The results were as follow 1.Among 10 cases, 9 cases were male and 1 case was female, and all cases were right hand, and most common age group was twenties (70%). 2.The most common cause of injury was falling with outstretched hand in 8 cases. 3.In the previous treatment, 8 cases had non-specific treatment and 2 cases had cast immobilization. 4.In the operation method, open reduction and internal fixation (O/R & IT) with K-wire combined with autogenous iliac bone graft (AIBG) for 8 cases, and O/R & I/F with Herbert screw combined with AIBG for I case and O/R & I/F with Herbert screw without bone graft for 1 case. 5-After operation, average duration of cast immobilization was 2.8 months (2.5months-3months). 6.All patients had a bony union with average duration 6.2 months (3months- 10months).

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Volar Percutaneous Cannulated Screw Fixation for Subacute Scaphoid Wasit Fracture
Jae Kwang Kim, Jong Oh Kim, Seung Yup Lee, Nam Hoon Do
Journal of the Korean Fracture Society.2009; 22(2): 104. CrossRef

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