{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:03:05Z","timestamp":1790679785945,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":78,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":78,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical, radiographic, and functional outcomes of arthroscopic treatment of scaphoid nonunion in adolescents, using cancellous bone grafting combined with headless compression screw fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study included adolescent patients treated between 2015 and 2022 with arthroscopically assisted bone grafting and headless compression screw fixation for scaphoid nonunion. Inclusion criteria were nonunion \u22656\u2009months after injury and minimum 12\u2010month follow\u2010up; exclusion criteria included degenerative wrist changes. Collected variables included demographic data, injury\u2010to\u2010surgery interval, radiographic parameters (including scapholunate angle), time to union, pain scores (visual analog scale), functional outcomes (QuickDASH), and range of motion. Statistical analysis showed significant improvements in visual analog scale and QuickDASH scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen patients (14 males; mean age 16\u2009years, range 13\u201019) met inclusion criteria. The mean follow\u2010up was 29.2\u2009months. All patients achieved bone union, with an average healing time of 5.7\u2009weeks. Pain (visual analog scale) improved from 2.6 to 0.8, and QuickDASH scores improved from 26.5 to 7.9. The scapholunate angle improved from 60.6\u00b0 to 46.6\u00b0, with stable range of motion postoperatively. No major complications or reoperations occurred. Minimal clinically important difference analysis confirmed meaningful clinical improvement in 93% of patients for pain and 87% for QuickDASH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic treatment of scaphoid nonunion in adolescents shows high union rates, improved function, and low morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70008","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T12:06:23Z","timestamp":1776686783000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Minimally Invasive Arthroscopic Fixation of Scaphoid Nonunion in Adolescents Shows High Union Rates, Improved Function, and Low Morbidity"],"prefix":"10.1002","volume":"8","author":[{"given":"Ricardo","family":"Kaempf","sequence":"first","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital of Porto Alegre  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4790-534X","authenticated-orcid":false,"given":"Paula","family":"Fischer","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital of Porto Alegre  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Brasil Souza","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia Hospital of Porto Alegre  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0931-4749","authenticated-orcid":false,"given":"Victor","family":"Trivino","sequence":"additional","affiliation":[{"name":"Madrid Montepr\u00edncipe University Hospital CEU San Pablo University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro J","family":"Delgado","sequence":"additional","affiliation":[{"name":"Madrid Montepr\u00edncipe University Hospital CEU San Pablo University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Mayo Clinic  Rochester Minnesota 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