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A 36-year-old member asked:

Fractured scaphoid circulation cut, what to do?

3 doctor answers4 doctors weighed in
Dr. Steven Brown
Hand Surgery 40 years experience
Grafting: The circulation to the scaphoid is precarious going distal to proximal, so proximal scaphoid fracture at risk for non union due to limited circulation. Care consists of either vascularized bone graft from distal dorsal radius, bone grafting with compression fixation, or attempt at bone stimulation with fixation. Seek care with hand surgeon.
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Dr. Jeffrey Wint
Hand Surgery 36 years experience
Avascular necrosis : Of the scaphoid occurs when the un healed fracture line separates one portion of the bone from the internal circulation of that bone resulting in bone decay. Typically surgery is needed. See a hand surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bradley Butkovich
Orthopedic Surgery 28 years experience
Scaphoid fractures: are serious fractures as leaving them untreated can lead to significant wrist degeneration, pain and loss of function. IF you have a scaphoid fracture with loss of circulation to the bone (common in scaphoid fractures as the blood flow enters the bone from the distal end and if you break it the proximal end gets no blood flow)., you need surgery to stabilize it vascular bone graft for bloodflow
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Aug 13, 2015

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