{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T04:05:55Z","timestamp":1747109155472,"version":"3.40.5"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Scaphoid waist fractures are the most common fracture of the scaphoid. Operative management is indicated with unstable fractures and often for nondisplaced waist fractures to decrease time to union and return to work\/sport. Screw placement within the central axis of the scaphoid is paramount and correlates with outcomes. Assessment of intrascaphoid screw placement is classically done via intraoperative fluoroscopy. An additional fluoroscopic view is presented to assist in confirming implant positioning.<\/jats:p>\n          <jats:p>Along with the standard anterioposterior, lateral, pronated oblique, and \u201cscaphoid\u201d view we obtain a \u201cstanding peanut\u201d view for assessment of central screw placement. This view also allows for further evaluation of center\/center positioning and better assessment of fixation crossing the fracture into the proximal pole. The \u201cstanding peanut\u201d view is best obtained in a sequential manner beginning with the forearm in neutral rotation. First, the forearm is then supinated 30 degrees; next, the wrist is placed at 45 degrees of ulnar deviation. Then finally, 10 degrees of wrist extension. We utilize this additional intraoperative view in conjunction with the standard fluoroscopic views for assessing and ensuring center-center implant positioning, particularly within the proximal pole.<\/jats:p>\n          <jats:p>When ensuring center-center positioning, we prefer this view as an adjunct view to the standard fluoroscopic views intraoperatively. It provides a beneficial view of the proximal pole delineating the number of screw threads that have obtained proximal pole purchase. We have found it particularly useful in the setting of scaphoid waist fracture nonunion with the classic \u2018humpback\u2019 deformity after correction with volar interposition grafting. Standard radiographic views may be misinterpreted regarding implant positioning if there remains any residual flexion. The view requires little in the way of training to obtain once appreciated and exposes the patient to minimal additional radiation.<\/jats:p>","DOI":"10.1097\/bth.0000000000000447","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T09:00:09Z","timestamp":1691053209000},"page":"204-209","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The \u201cStanding Peanut\u201d Scaphoid View: A Semi-supinated Radiographic View for Intraoperative Evaluation of Screw Placement in Scaphoid Waist Fractures"],"prefix":"10.1097","volume":"27","author":[{"given":"A. Luke","family":"Shiver","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doyle R.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua D.","family":"Dolan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keri L.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Mark","family":"Fulcher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,12]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.2106\/00004623-198971100-00017","article-title":"Fractures and non-unions of the carpal scaphoid","volume":"71","author":"Gelberman","year":"1989","journal-title":"J Bone Joint Surg Am"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1302\/0301-620X.98B5.36938","article-title":"The epidemiology of fractures of the scaphoid: impact of age, gender, deprivation and seasonality","volume":"98-b","author":"Garala","year":"2016","journal-title":"Bone Joint J"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1097\/00003086-198006000-00010","article-title":"Fractures of the scaphoid: a rational approach to management","volume":"149","author":"Cooney","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"R4-20250512","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","author":"Bond","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"633","DOI":"10.2106\/00004623-200005000-00004","article-title":"Displaced scaphoid fractures treated with open reduction and internal fixation with a cannulated screw","volume":"82","author":"Trumble","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/S0363-5023(98)80093-2","article-title":"Measurement of the scaphoid humpback deformity using longitudinal computed tomography: intra- and interobserver variability using various measurement techniques","volume":"23","author":"Bain","year":"1998","journal-title":"J Hand Surg Am"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/0363-5023(89)90191-3","article-title":"Scaphoid malunion","volume":"14","author":"Amadio","year":"1989","journal-title":"J Hand Surg Am"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1302\/0301-620X.80B1.0800095","article-title":"Acute percutaneous scaphoid fixation. 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A prospective, randomised 12-year follow-up comparing operative and conservative treatment","volume":"83","author":"Saed\u00e9n","year":"2001","journal-title":"J Bone Joint Surg Br"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/j.jhsa.2011.02.017","article-title":"Optimization of volar percutaneous screw fixation for scaphoid waist fractures using traction, positioning, imaging, and an angiocatheter guide","volume":"36","author":"Zlotolow","year":"2011","journal-title":"J Hand Surg Am"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/S0363-5023(80)80087-6","article-title":"The vascularity of the scaphoid bone","volume":"5","author":"Gelberman","year":"1980","journal-title":"J Hand Surg Am"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"72","DOI":"10.2106\/00004623-200301000-00012","article-title":"Central placement of the screw in simulated fractures of the scaphoid waist: a biomechanical study","volume":"85","author":"McCallister","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"R13-20250512","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/1558944716681948","article-title":"Percutaneous treatment of unstable scaphoid waist fractures","volume":"12","author":"Matson","year":"2017","journal-title":"Hand (N Y)"},{"key":"R14-20250512","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.1016\/j.jhsa.2008.04.005","article-title":"Pronated oblique view in assessing proximal scaphoid articular cannulated screw penetration","volume":"33","author":"Kim","year":"2008","journal-title":"J Hand Surg Am"},{"key":"R15-20250512","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1016\/j.jhsa.2011.09.012","article-title":"Osseous and ligamentous scaphoid anatomy: Part I. 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