Carpal kinematic changes after scaphoid nonunion: an in vivo study with four-dimensional CT imaging

Marieke G. A. de Roo, Johannes G. G. Dobbe, Chantal M. A. M. van der Horst, Geert J. Streekstra, Simon D. Strackee

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The aim was to evaluate if motion between the scaphoid bone fragments is related to the position of the fracture line and if a scaphoid nonunion results in the uncoupling of the proximal and distal carpal row during wrist motion. The influence of dorsal intercalated segment instability on interfragmentary motion was also analysed. In this study, 12 patients were included with unilateral scaphoid nonunion. Four-dimensional computerized tomography was used to analyse flexion–extension and radioulnar deviation motion of both wrists. We found that an increased instability of the scaphoid fragments is associated with the presence of dorsal intercalated segment instability and is not dependent on the position of the fracture line relative to the scaphoid apex. Additionally, a scaphoid nonunion results in an uncoupling of the carpal rows.
Original languageEnglish
Pages (from-to)1056-1064
Number of pages9
JournalJournal of Hand Surgery: European Volume
Volume44
Issue number10
DOIs
Publication statusPublished - 1 Dec 2019
Externally publishedYes

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