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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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10 Questions About Scaphoid Fractures – Revisited: A Case-Based Discussion

Meeting Abstract

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  • presenting/speaker Amit Gupta - Dept of Orthopedic Surgery, University of Louisville, Prospect, KY, United States
  • Kyle Bickel - The Hand Center of San Francisco, UCSF School of Medicine, San Francisco, CA, United States
  • Chaitanya Mudgal - Hand Surgery Service, Massachusetts General Hospital, Harvard School of Medicine, Boston, MA, United States

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-933

doi: 10.3205/19ifssh0374, urn:nbn:de:0183-19ifssh03742

Published: February 6, 2020

© 2020 Gupta et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: The 1992 article "Twenty questions about scaphoid fractures" by Nicholas Barton was a seminal work in wrist surgery. Twenty-five years of progress in the treatment of this common wrist injury have made the revisiting of this work with current methods, materials, and analyses an important endeavor [1].

Methods: An international panel of experts will discuss the following 10 questions:

1.
What is the diagnostic algorithm for a painful wrist injury?
2.
What characteristics of scaphoid fractures lead to a poor prognosis?
3.
What is the current treatment algorithm for scaphoid fractures?
4.
What techniques are currently used to treat scaphoid fractures?
5.
How is delayed union of scaphoid fractures diagnosed and treated?
6.
What is the best treatment for scaphoid nonunion?
7.
What is the role of vascularized bone grafts in scaphoid nonunion?
8.
What is the role of free microvascular grafting in scaphoid nonunion?
9.
What is SNAC wrist?
10.
How is SNAC wrist best treated?

Results and Conclusions: Each question will be discussed by an expert surgeon, using currently available diagnostic tools, treatment methods and techniques, and discussing published data related to outcomes of treatment.

The panel will then present cases in a discussion format to illustrate the current state-of-the-art in the treatment of scaphoid fractures, including acute fractures, non-unions, and SNAC wrist.

Outline

References

1.
Barton NJ. Twenty questions about scaphoid fractures. J Hand Surg Br. 1992 Jun;17(3):289-310.