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Journal of Bone and Joint Surgery, 1937;19:1099-1109.
© 1937 by The Journal of Bone and Joint Surgery, Inc

FURTHER OBSERVATIONS ON TREATMENT OF FRACTURE OF THE CARPAL SCAPHOID (NAVICULAR)

JOSEPH H. BURNETT M.D., F.A.C.S.1

1 The Bone and Joint Service of the Boston City Hospital

In summarizing, we wish to stress the following points:

1. In all suspicious cases, and in checking the end results for union, the oblique view is most important. [SEE FIG. 10-A, 10-B IN SOURCE PDF]

2. The final result as shown by the roentgenogram varies between no union, a possible fibrous union, and bony union.

3. The end result should be evaluated by the clinical findings and not by the roentgenograms.

4. The results obtained both by the bone-graft and the bone-peg operations clearly prove that it is no longer necessary to remove the scaphoid.

5. The bone-peg operation, which is much easier to perform, leaves the anatomy undisturbed, the wrist strong and free from disability other than some limitation of dorsal flexion, and the patient satisfied.


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