Editorial Commentary: Olecranon Bone Autografting Combined With an Arthroscopic Approach for the Treatment Scaphoid Nonunion-An Important Technique for Wrist Surgeons.

Effective treatment of scaphoid pseudoarthrosis is critical to reduce the risk of progression to the potentially debilitating scaphoid nonunion advanced collapse, including complications of persistent wrist joint instability, degenerative arthritis, decreased range of motion, chronic pain, and functional impairment. Both anatomic and fracture-related pathophysiology predispose patients to scaphoid nonunion, including limited retrograde blood flow, fracture location, and delay of appropriate treatment. Recent studies have demonstrated successful outcomes in treatment of scaphoid nonunions, with nonvascularized bone autograft, commonly from distal radius or iliac crest, as well as pedicled vascularized or free vascularized autograft with rates of union varying from 84% to 100%.

Editorial Commentary: Magnetic Resonance Imaging Is Not Inferior to the Gold Standard of Diagnostic Arthroscopy for Identification of Wrist Ligamentous Pathology.

Accurate diagnoses of wrist ligamentous injuries are critical to guiding the proper treatment pathway for patients with these pathologies. Although advancements in imaging continue and magnetic resonance imaging is valuable, diagnostic arthroscopy remains superior, particularly if involvement of the noncentral triangular fibrocartilage complex, scapholunate interosseous ligament, or lunotriquetral interosseous ligament is suspected on the basis of history and physical examination and even in the face of negative magnetic resonance imaging findings.