• Der Unfallchirurg · Mar 2019

    Review

    [Treatment options for scaphoid nonunion advanced collapse].

    • R Meier.
    • Unfall‑, Hand und Wiederherstellungschirurgie, Helios Klinikum Meiningen, Akademisches Lehrkrankenhaus des Universitätsklinikums Jena, Bergstr. 3, 98617, Meiningen, Deutschland. reinhard.meier@handchirurg.org.
    • Unfallchirurg. 2019 Mar 1; 122 (3): 211-218.

    AbstractUntreated scaphoid nonunion as a rule results in subsequent scaphoid nonunion advanced collapse (SNAC) wrist. While reconstructive treatment of the scaphoid in association with resection of the styloid process of the radius is still promising in stage I SNAC wrist, salvage procedures are available for higher degrees of SNAC wrist to reduce pain and to preserve the function of the wrist. Denervation, proximal row carpectomy and partial wrist fusion maintain wrist mobility. Total wrist arthrodesis and total wrist arthroplasty are salvage procedures in cases of panarthritis or failed motion-preserving procedures.

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