Once an X-ray shows the fracture is healed, the cast can be removed. Fractures that are in the proximal pole of the scaphoid, displaced, or not treated soon after injury require surgical repair.

As many as 30% of scaphoid fractures may not be detectable on initial X-rays. Because the scaphoid has a poor blood supply to the waist and proximal pole, failure to treat fractures early can ...

The fracture was then securely fixed with a ... the Zeidenberg technique and is effective for the treatment of proximal pole scaphoid nonunions even with avascularity by MRI.

17). [18] Figure 16. Sagittal CT image of the right wrist demonstrates sclerosis at the margins of the proximal and distal pole scaphoid fracture fragments. No bony bridging is present at the ...

What is the location of the fracture? The fracture may be at the far end (distal pole) of the scaphoid, in the middle, or at the near end (proximal pole). The fractures at the near end (closer to ...

All patients were able to avoid wrist fusions. Inability to revascularize the proximal pole of the scaphoid and ongoing wrist arthritis appear to persist despite revascularization attempts.