CASE REPORT |
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Year : 2013 | Volume
: 47
| Issue : 4 | Page : 425-428 |
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Posttraumatic osteonecrosis and nonunion of distal pole of scaphoid
Saurabh Kapoor1, Inder Pawar2, Sudhir Kapoor2
1 Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India 2 Department of Orthopaedics, E.S.I. Hospital, Basaidarapur, New Delhi, India
Correspondence Address:
Saurabh Kapoor C 610 Saraswati Vihar, Pitampura, New Delhi - 110 034 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5413.114941
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Posttraumatic osteonecrosis of distal pole of scaphoid is an extremely rare with only two reported cases so far. We present a case of a 30-year-old male with a 2-year-old posttraumatic osteonecrosis and nonunion of distal pole of scaphoid left wrist. He presented with complaints of pain and restriction of movements. There was no evidence of radiocarpal arthritis. He was managed with open reduction and internal fixation with k-wires, supplemented by a pronator quadratus based muscle pedicle bone graft. The fracture union was achieved at 6 months. After 2 years, he had almost complete range of wrist motion and had returned to his preinjury level of functional activity. His MRI (magnetic resonance imaging) scans showed evidence of revascularization suggesting successful incorporation of bone graft. |
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