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Journal of Bone and Joint Surgery, 1928;10:108-113.
© 1928 by The Journal of Bone and Joint Surgery, Inc

FRACTURE OF TARSAL SCAPHOID

With Notes on the Mechanism

EDWIN P. LEHMAN M.D.1 and I. H. ESKELES M.D.1

1 The Department of Surgery, Washington University School of Medicine

(1) A case is presented of fracture of the tarsal scaphoid from indirect violence with excellent functional result.

(2) A study of the tarsus suggests that fracture of the scaphoid from indirect violence is not probable without ligamentous tear.

(3) A possible mechanism of fracture is presented as follows: (a) Forced flexion of the foot with resulting tear of the dorsal scaphoidocuneiform ligament. (b) Transmission of force in the axis of the foot driving the scaphoid against the upturned sharp inferior proximal angle of the middle cuneiform.


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