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Journal of Hand Surgery (British and European Volume)
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Articles

Natural History of Scaphoid Non-Union, with Special Reference to "Asymptomatic" Cases

G. LINDSTRÖM
Å. NYSTRÖM

From the Department of Hand Surgery, University of Umeå Hospital, Sweden

Correspondence: Goran Lindström, MD, PhD, Department of Hand Surgery, University of Umeå Hospital, S-901 85 Umeå, Sweden.

33 patients with non-union of the carpal scaphoid were diagnosed by X-ray examination two to 37 years following the original trauma. All of the patients could be contacted and summoned for a re-examination ten to 17 years later. X-rays revealed a 100% incidence of progressive radio-carpal osteoarthritis. It is concluded that freedom of pain is not a reliable prognostic indicator, and that all patients with non-union of the carpal scaphoid are likely to benefit from surgical treatment of the pseudarthrosis. The only exception to this rule might be the patient in whom the radio-carpal joint is already deteriorated by an advanced degenerative arthritis.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 6, 697-700 (1992)
DOI: 10.1016/0266-7681(92)90204-F
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