Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Hand Surg Am. 2011 May;36(5):916-21. doi: 10.1016/j.jhsa.2011.02.017.

Optimization of volar percutaneous screw fixation for scaphoid waist fractures using traction, positioning, imaging, and an angiocatheter guide.

Author information

  • 1Department of Orthopaedics, Shriners Hospital for Children, Philadelphia, PA 19140, USA. dzlotolow@yahoo.com

Abstract

Percutaneous screw fixation of nondisplaced or reducible scaphoid fractures has become more popular as techniques and implants have improved. Many authors have advocated for the dorsal approach, citing difficulties with adequate screw placement from the volar approach. We have developed a straightforward and reproducible technique for volar percutaneous scaphoid screw fixation that mitigates most of the drawbacks of the approach. The wrist is held in extension and ulnar deviation with traction through the thumb. A 14-gauge angiocatheter needle is then used to localize the starting point and as a cannula for the guide wire. Specific fluoroscopic views help to confirm optimal guide wire placement.

Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

PMID:
21527146
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk