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CASE REPORT
Year : 2013  |  Volume : 47  |  Issue : 4  |  Page : 425-428

Posttraumatic osteonecrosis and nonunion of distal pole of scaphoid


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
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Source of Support: None, Conflict of Interest: None


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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