• Young-Keun Lee and Ki-Bum Kim.
• Department of Orthopedic surgery, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk National University Medical School Jeonju, Jeonbuk, 54907 - 54896, Republic of Korea.
• Medicine (Baltimore). 2021 Jan 22; 100 (3): e24095.

RationaleThe treatment methods of pediatric scaphoid nonunion are still controversial. To our knowledge, arthroscopic-assisted treatments for pediatric scaphoid nonunion has not been reported in the English-language literature. Therefore, the purpose of this study is to report the use of arthroscopic-assisted bone grafting for scaphoid nonunion fracture in 3 patients and present a literature review.Patients ConcernsTwo 15-year-old patients developed carpal joint injuries over a year, prior to their hospital presentation, since they had not received adequate treatment. The third patient, 12 years of age, was diagnosed with scaphoid fracture after a traffic accident and underwent conservative treatment but presented to the hospital due to issues related with bone union.DiagnosisAll 3 patients were diagnosed with scaphoid nonunion at our hospital, using plain wrist radiographs and computed tomography.InterventionsAll the patients underwent arthroscopic debridement; 2 patients received autogenous iliac cancellous bone graft, while the other patient received a bone substitute graft. The internal fixation of the scaphoid was performed with K-wires.OutcomesBone unions were achieved in all patients, and the final follow-up resulted in successful outcomes.LessonsArthroscopic-assisted bone grafting and percutaneous K-wire fixation can be considered as a good method for the treatment of pediatric scaphoid nonunion fractures. Therefore, it is a primary treatment option for symptomatic scaphoid nonunion fracture and displaced fractures.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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