Distal scaphoid excision is gaining popularity as a treatment of scaphoid nonunion. It requires the strong radioscaphoid and radioscapholunate ligaments to maintain support of the remaining proximal carpus. In this case, the proximal carpus was destabilized by the effect of radial stylidectomy on these ligaments. |
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Clinically and by bone scan, this patient sustained a scaphoid fracture, but obviously had a preexisting distal pole cyst. |
This progressed... |
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midcarpal instability distal scaphoid excision midcarpal arthrodesis |
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