{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T06:22:03Z","timestamp":1773469323958,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,12,20]]},"abstract":"<jats:p>Scaphoid non-union affects wrist joint function and is often associated with a predictable pattern of degenerative change. A 30-year-old man presented with a symptomatic 15-year-old right scaphoid fracture with secondary scaphoid non-union advanced collapse of his right wrist. There was no evidence of avascular necrosis. The initial injury was from a fall onto his outstretched hand. We performed a right scaphoid open reduction, internal fixation and iliac crest bone graft. One year after the operation, the patient had good wrist function and grip strength. A CT scan showed union of the fracture. Studies have shown that if the time between initial fracture and treatment of non-union exceeds 5 years, the chances of healing of the non-union are markedly reduced. In our case, despite the long duration between timing of injury and surgery, there was union and good return of function.<\/jats:p>","DOI":"10.1136\/bcr-2017-221615","type":"journal-article","created":{"date-parts":[[2018,1,4]],"date-time":"2018-01-04T09:22:26Z","timestamp":1515057746000},"page":"bcr-2017-221615","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Management of a 15-year-old scaphoid non-union"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6060-1487","authenticated-orcid":false,"given":"Kai Yuen","family":"Wong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Sharp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,4]]},"reference":[{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.1","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1007\/s00264-008-0663-3","article-title":"Long-term results of scaphoid nonunion treated by intercalated bone grafting and Herbert\u2019s screw fixation-a study of 49 patients for at least five years","volume":"33","author":"Huang","year":"2009","journal-title":"Int Orthop"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.2","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1007\/s11552-015-9741-3","article-title":"Compression screw fixation without bone grafting for scaphoid fibrous nonunion","volume":"10","author":"Somerson","year":"2015","journal-title":"Hand"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.3","unstructured":"Gaebler C , McQueen M . Carpus fractures and dislocations. In: Bucholz RHJ , Court-Brown CM , Tornetta P III , eds. Rockwood and green\u2019s fractures in adults 7. Philadelphia: Williams and Wilkins, 2010:800."},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.4","unstructured":"Slade J , Merrell G . Percutaneous treatment of grade I to III scaphoid nonunions. Wiesel S , ed. Operative techniques in orthopaedic surgery. Philadelphia: Lippincott, Williams and Wilkins, 2011:2260."},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.5","unstructured":"Mack G , Kelly J , Lichtman D . Scaphoid non-union. In: Lichtman D , Alexander A , eds. The wrist and its disorders. Philadelphia: Saunders, 1997:234\u201367."},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-006-1025-x"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.7","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90114-U"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.8","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1007\/s11552-008-9112-4","article-title":"Treatment of delayed\/nonunion of scaphoid waist with Synthes cannulated scaphoid screw and bone graft","volume":"3","author":"Inaparthy","year":"2008","journal-title":"Hand"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.9","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1055\/s-0032-1326727","article-title":"Chronic scaphoid nonunion of 28-year duration treated with nonvascularized iliac crest bone graft","volume":"2","author":"Capo","year":"2013","journal-title":"J Wrist Surg"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.10","doi-asserted-by":"publisher","DOI":"10.1177\/1753193411413663"},{"key":"2025042702185128000_2018.jan03_3.bcr-2017-221615.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80028-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221615","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:19:07Z","timestamp":1745745547000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,4]]},"references-count":11,"alternative-id":["10.1136\/bcr-2017-221615"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221615","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,4]]}}}