Screw Fixation Alone for Scaphoid Fracture Nonunion

Stephen Michael Crowe Ernst, David P. Green, James M. Saucedo

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Scaphoid fracture nonunion can often lead to pain, arthrosis, and disability. While typically the result of delayed diagnosis or inadequate treatment, it can sometimes occur even if the initial care was timely and appropriate. Whereas early recognition of acute fractures allows for nonoperative management, nonunions frequently require surgical treatment. Traditionally, this has involved open debridement and bone grafting. However, some publications suggest that certain stable nonunions may be amenable to percutaneous debridement and fixation without formal bone grafting. Although certain characteristics appear to be appropriate indications for such management, well-designed clinical studies are needed to better define them.

Original languageEnglish (US)
Pages (from-to)837-843
Number of pages7
JournalJournal of Hand Surgery
Issue number9
StatePublished - Sep 2018


  • Scaphoid fracture nonunion
  • percutaneous fixation of scaphoid nonunion
  • screw fixation for scaphoid nonunion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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