{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T19:04:27Z","timestamp":1775243067028,"version":"3.50.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Scaphoid fractures typically occur in young, healthy males at the peak of their employment and productivity, and left untreated or inadequately treated will ultimately progress to nonunion and a \u201cpredictable\u201d pattern of wrist arthritis and carpal collapse. Nonoperative treatment of these fractures requires prolonged cast immobilization, which can lead to wrist stiffness, loss of grip strength, muscle atrophy, and protracted loss of economic productivity. To prevent these devastating sequelae, percutaneous techniques for scaphoid fixation have been described and popularized; however, these techniques are technically demanding as optimal position of the compression screw is required to achieve bony union. The focus of this paper is to describe the indications, contraindications, and a series of reproducible, practical pearls to achieve ideal percutaneous scaphoid compression screw fixation of scaphoid waist and distal pole fractures.<\/jats:p>","DOI":"10.1097\/bth.0000000000000213","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T01:48:56Z","timestamp":1547430536000},"page":"6-9","source":"Crossref","is-referenced-by-count":9,"title":["Volar Approach to Percutaneous Fixation of Acute Nondisplaced Fractures of the Scaphoid"],"prefix":"10.1097","volume":"23","author":[{"given":"Brent R.","family":"DeGeorge","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1016\/j.injury.2009.03.045","article-title":"The incidence of scaphoid fracture in a military population","volume":"40","author":"Wolf","year":"2009","journal-title":"Injury"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.hcl.2009.08.014","article-title":"Carpal bone fractures","volume":"26","author":"Papp","year":"2010","journal-title":"Hand Clin"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.hcl.2009.08.007","article-title":"Acute scaphoid fractures","volume":"26","author":"Adams","year":"2010","journal-title":"Hand Clin"},{"key":"R4-20230901","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s11552-014-9689-8","article-title":"Outcomes of open reduction and internal fixation of acute proximal pole scaphoid fractures","volume":"10","author":"Brogan","year":"2015","journal-title":"Hand (N Y)"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.hcl.2005.10.004","article-title":"Scaphoid fracture in children","volume":"22","author":"Elhassan","year":"2006","journal-title":"Hand Clin"},{"key":"R6-20230901","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s10195-014-0293-z","article-title":"Non-operative treatment versus percutaneous fixation for minimally displaced scaphoid waist fractures in high demand young manual workers","volume":"15","author":"Majeed","year":"2014","journal-title":"J Orthop Traumatol"},{"key":"R7-20230901","doi-asserted-by":"crossref","first-page":"1135.e1","DOI":"10.1016\/j.jhsa.2016.08.023","article-title":"A systematic review and meta-analysis examining the differences between nonsurgical management and percutaneous fixation of minimally and nondisplaced scaphoid fractures","volume":"41","author":"Alnaeem","year":"2016","journal-title":"J Hand Surg Am"},{"key":"R8-20230901","doi-asserted-by":"crossref","first-page":"483","DOI":"10.2106\/00004623-200104000-00001","article-title":"Percutaneous screw fixation or cast immobilization for nondisplaced scaphoid fractures","volume":"83-A","author":"Bond","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"R9-20230901","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.2106\/JBJS.9008.EBO3","article-title":"Percutaneous screw fixation led to faster recovery and return to work than immobilization for fractures of the waist of the scaphoid","volume":"90","author":"Grewal","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"R10-20230901","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s00402-009-1004-8","article-title":"Acute non-displaced fractures of the scaphoid: earlier return to activities after operative treatment. 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