Comparison of the results and complications of palmar and dorsal miniinvasive approaches in the surgery of scaphoid fractures. A prospective randomized study.

Aims: To compare the functional results and complications associated with palmar percutaneous and dorsal limited approaches in the surgical treatment of nondisplaced or minimally displaced scaphoid fractures type B2.

Methods: A total of 76 patients with acute nondisplaced or minimally displaced type B2 scaphoid fractures were included in a prospective randomised study. The assignment patients to groups according to type of operative approach was based on systematic sampling.

[A Palmar percutaneous volar versus a dorsal limited approach for the treatment of non- and minimally-displaced scaphoid waist fractures: an assessment of functional outcomes and complications].

Purpose Of The Study: Non-displaced or minimally displaced scaphoid waist fractures can be surgically treated using either the percutaneous volar or the limited dorsal approach.These techniques provide a possibility of early wrist physiotherapy throughout the healing period, better functional outcomes and a shorter sick leave duration.Many reports cite low complication rates.

[Proximal row carpectomy in the treatment of degenerative arthritis of the wrist].

Purpose Of The Study: To evaluate the outcome in patients treated by proximal row carpectomy at a follow-up of at least 12 months.

Material: A total of 28 patients were treated by proximal row carpectomy for degenerative arthritis of the wrist due to previous trauma to the wrist or avascular necrosis of the lunate. Of them, 24 underwent a follow-up examination at least 12 months post-operatively.

Spontaneous consolidation of scaphoid nonunion in a child.

Background: Scaphoid nonunion is very rare in childhood.

Case Report: A 14 year old boy with scaphoid nonunion confirmed with CT did not past scheduled surgery. In spite of the short period of immobilisation union occurred and two years after the injury he was completely asymptomatic.

Azygos vein injury in blunt chest trauma.

Injuries to the azygos vein in a blunt chest trauma are uncommon and have previously been described in only 21 cases. The diagnosis is crucially based on massive right haemothorax with signs of shock, hypotension and altered mental status. The severity of the trauma, speed of transport and surgical intervention are often decisive for the survival of the patient.