8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 1/12

Vgvjgw

Mkutg armkturgs da thg skmphdj` fdog5 [ystgbmtjk rgvjgw mo`bgtm-momcysjs

[. Mcshry`m m,*, M. [hmh f , [. D`ml f , E. Mc-[hry`mk, F. Jcmond` , [.V. Burmcj f

m@gpmrtbgot da Drthdpmg`jks, Embgs Kddl Wojvgrsjty Hdspjtmc, > Ajokhcmy Kdurt, Bj``cgsfrdunh P[7 8GC, WLf

@gpmrtbgots da Prmubm mo` Drthdpmg`jks, ^rjnhtjontdo Hdspjtmc, Hmcc Cmog, Mppcgy Frj`ng, ^jnmo ^O1 :GY, WLk @gpmrtbgot da [urngry, Kdccb Lcjojl Dskhmtz NbfH, Ymrlstr. =, Dskhmtz, Ngrbmoy` @gpmrtbgot da Prmubm mo` Drthdpmg`jks, Amjr gc` Ngogrmc Hdspjtmc, Dc` Vdkh`mcg Vdm`, Fury, Nrgmtgr Bmokhgstgr FC: >P@, WL

m r t j k c g j o a d

Mrtjkcg hjstdry5Vgkgjvg` == Emoumry 69=6Vgkgjvg` jo rgvjsg` adrb=0 Bmrkh 69=6Mkkgptg` 6= Bmrkh 69=6Mvmjcmfcg docjog =7 Bmy 69=6

Lgywdr`s5[kmphdj` armkturg[kmphdj` kmstKdccgs kmstDpgo rg`uktjdoJotgromc xmtjdoOdo-uojdo

m f s t r m k t

Fmklnrduo`5 Phg skmphdj` armkturgs mkkduot adr 79%g 89% da mcc kmrpmc fdog armkturgs joyduon jo`jvj`umcs. Odo-uojdo da thg armkturg dkkurs jo mpprdxjbmtgcy 7% g =9% da uo`js-pcmkg` skmphdj` armkturgs. Kurrgot bmomngbgot vmrjgs sjnoj kmotcy mbdon `jaagrgot pcm-kgs mo` surngdos.Dfegktjvgs5 Phg purpdsg da thjs rgvjgw js td jovgstjnmtg thg gvj`gokg da thg gaagktjvgogss mo`smagty da vmrjdus trgmtbgots da mkutg skmphdj armkturgs.Bgthd`dcdny5 [ystgbmtjk rgvjgw mo` bgtmomcysjs da mcc thg rmo`dbjsg` mo` qumsj-rmo`dbjsg` trjmcs kdbpmrjon `jaagrgot trgmtbgots da mkutg skmphdj` armkturgs.Vgsucts5 Phjrtggo VKPs (Yufcjshg` =8 tjbgs) hmvg bgt dur jokcusjdo krjtgrjm. Phg adccdwjonshmvg fggo jovgstjnmtg`5

=. Kdccgs kmst vgrsus skmphdj` kmst.6. Mfdvg gcfdw vgrsus fgcdw gcfdw skmphdj` kmst.;. Kdccgs kmst wjth thg wrjst jo stgxjdo vgrsus Kdccgs kmst wjth thg wrjst jo gxtgosjdo.7. Dpgrmtjvg vgrsus odo-dpgrmtjvg trgmtbgot.1. Wojdo rmtg vgrsus tjbg td uojdo.

Kdokcusjdo5 [kmphdj` armkturg kmo fg trgmtg` fy Kdccgs kmst adr up td =6 wggls. Phg wrjstshduc odt fg jo stgxjdo. Phgrg js od m`vmotmng da mo mfdvg gcfdw kmst dvgr m fgcdw gcfdwkmst. Dpgrmtjvg trgmtbgot adr skmphdj` `dgs odt prdvj`g m hjnhgr uojdo rmtg jo uo`jspcmkg`armkturgs, fut bmy `d jo `jspcmkg` armkturg. Dpgo mpprdmkh sggbs td fg supgrjdr tdpgrkutmogdus xmtjdo.

ª 69=6 Vdymc Kdccgng da [urngdos da G`jofurnh ([kdttjsh khmrjty oubfgr [K997;=>) mo`Vdymc Kdccgng da [urngdos jo Jrgcmo`. Yufcjshg fy Gcsgvjgr Ct`. Mcc rjnhts rgsgrvg`.

* Kdrrgspdo`jon muthdr .G-bmjc m``rgssgs5 smttmr61I`dktdrs.drn.ul ([. Mcshry`m), drthdpmg`jksInbmjc.kdb (M. [hmh), smurmfhsd`mlInbmjc.kdb ([. D`ml),

Emcmc>8Imcjkg.`g (E. Mc-[hry`m), fjcmondImdc.kdb (F. Jcmond), Vme.BurmcjIwwc.ohs.ul ([.V. Burmcj).

Mvmjcmfcg docjog mt www.skjgokg`jrgkt.kdb

Phg [urngdo, Eduromc da thg Vdymc Kdccgngsda [urngdos da G`jofurnh mo` Jrgcmo`

www.thgsurngdo.ogt

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 :

=0>:-111X/$ g sgg ardot bmttgr ª 69=6 Vdymc Kdccgng da [urngdos da G`jofurnh ([kdttjsh khmrjty oubfgr [K997;=>) mo` Vdymc Kdccgng da [urngdos jo Jrgcmo . Yufcjshg` fy Gcsgvjgr Ct`. Mcc rjnhts rgsgrvg .`dj5=9.=9=1/e.surng.69=6.9;.990

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 2/12

Jotrd`uktjdo

Phg armkturg da thg skmphdj` fdog mkkduot adr 79%g 89% da mcckmrpmc fdog armkturgs jo yduon mo` mktjvg jo jvj umcs. Mkdbbdo kmusg js m amcc dotd mo dutstrgtkhg` hmo` wjth thg

wrjst fgot fmkl. Phg armkturg kmo sgvgr thg fcdd` stdw td thgfdog, kmusjon thg armkturg td hgmc scdwcy (`gcmyg` uojdo) drodt mt mcc (odo-uojdo). Gmrcy gvmcumtjdo mo` mpprdprjmtgtrgmtbgot mrg thgrgadrg jbpdrtmot jo mvdj`jon kdbpcjkmtjdossukh ms mvmskucmr ogkrdsjs (MQO) mo` kmrpmc kdccmpsg. Odo-uojdo da thg armkturg dkkurs jo mpprdxjbmtgcy 7%g =9% da armkturgs da uo`jspcmkg` skmphdj`. Phg jokj`gokg jokrgmsgs tdup td :9% adr `jspcmkg` prdxjbmc pdcg armkturgs.= Vgkgotstu`jgs hmvg shdwo thmt odo-uojdo kmo cgm` td kmrpmckdccmpsgmo` pdst-trmubmtjk mrthrjtjs. Adr thjs rgmsdo, trgmtbgot jsrgkdbbgo`g` adr mcc skmphdj` odo-uojdo, gvgo ja thg pmtjgotjs msybptdbmtjk. 6,;

Kurrgot bmomngbgot vmrjgs sjnoj kmotcy mbdon `jaagrgot

pcmkgs mo` surngdos mo` jt js qujtg usumc td o` `jaagrgottrgmtbgot mpprdmkhgs gvgo wjthjo thg smbg kgotrg.

[hdrt skmphdj` kmst, cdon skmphdj` kmst, Kdccgs kmst mo`skmphdj` spcjot hmvg mcc fggo m`vdkmtg` td trgmt uo`jspcmkg`skmphdj` armkturgs. M cdon (mfdvg gcfdw) kmst kmo cgm` tdstjaaogss da thg gcfdw mo` thg @QCM (@rjvgr mo` QghjkcgCjkgosjon Mngoky) `dgs odt mccdw pmtjgots td `rjvg whjcghmvjon sukh m kmst. [hdrt kmsts bmyfg sufdptjbub trgmtbgotmkkdr jon td sdbg muthdrs. 0g > Bdrgdvgr, thgrg js stjcc`jsmnrggbgot do hdw cdon thg armkturg shduc` fg prdtgktg` jopcmstgr.

Ja thg skmphdj` armkturg js `jspcmkg`, thg rjsl da odo-uojdojs hjnhgr mo` surngry bmy fg rgkdbbgo`g` td rgpdsjtjdo mo`

x thgfdogs jotd pcmkg.8

Hdwgvgr, thgrg js bdrg thmo dog wmytd `d thg surngry (pgrkutmogdus mpprdmkh, dpgo vdcmrmpprdmkh dr dpgo `drsmc mpprdmkh). Gvgo wjth surngry, armk-turgs da thg skmphdj` fdog kmo tmlg cdon tjbg td hgmc, mo` jt jspdssjfcg thmt m odo-uojdo dr mvmskucmr ogkrdsjs wjcc dkkur.8

Adr thjs rgmsdo sdbg hmvg m`vdkmtg` m``jtjdomc jotgrvgo-tjdos sukh ms gcgktrjkmc stjbucmtjdo dr thgrmpgutjk uctrmsduo`td prdbdtg hgmcjon. :,=9

Phg `jvgrsjty da skmphdj` armkturg kcjojkmc prgsgotmtjdos,thg kdbpcgx momtdbjkmc mo` auoktjdomc prdpgrtjgs mo` thgwj`g rmong da pdssjfcg jotgrvgotjdos bmlg mkutg bmomng-bgot da skmphdj` armkturgs m kdbpcgx jssug. Mcthdunh jt jskdbbdo td usg kcdsg` bgthd`s td trgmt m stmfcg mo` uo`js-

pcmkg` armkturg, prdpdogots da dpgrmtjvg trgmtbgot kcmjbsurngry mccdws gmrcy rgturo da auoktjdo mo` shduc` fg rgnmr-`g` ms mo mctgromtjvg td kdosgrvmtjvg trgmtbgot jo pmtjgots jowhdb jbbdfjcjsmtjdo jo m kmst adr thrgg bdoths js uomk-kgptmfcg adr rgmsdos rgcmtg` td spdrts, sdkjmc cjag dr wdrl.==

Phjs rgvjgw mjbs td j`gotjay jotgrvgotjdos adr whjkh thgrgjs gvj gokg da gaagktjvgogss mo` smagty ardb rmo`dbjsg`kdotrdccg` trjmcs.

Bmtgrjmcs mo` bgthd`s

Phg rgvjgw wms kdo uktg` jo mkkdr`mokg wjth nuj gcjogs`gskrjfg` jo thg Kdkhrmog hmo`fddl adr systgbmtjk rgvjgwmo` bgtm-momcysjs da jotgrvgotjdos. =6

[tu`y sgcgktjdo krjtgrjm

Pypgs da stu`jgsVmo`dbjsg` kdotrdccg` trjmcs (VKPs) mo` qumsj-rmo`dbjsg`(adr gxmbpcg, mccdkmtjdo fy hdspjtmc oubfgr dr `mtg da fjrth)trjmcs kdbpmrjon `jaagrgot trgmtbgots da mkutg skmphdj`armkturgs wgrg kdosj`grg` wjthjo thjs rgvjgw. ^g gxkcu`g`trjmcs thmt jovgstjnmtg` jotgrvgotjdos adr odo uojtg` skmphdj`armkturgs.

Pypgs da jotgrvgotjdos jokcu`g`Moy jotgrvgotjdo usg` td trgmt mkutg skmphdj` armkturgs. Adrprmktjkmc rgmsdos thgywgrg nrdupg` uo`gr thg adccdwjon thrgghgm`jons.

=. Odo-dpgrmtjvg jotgrvgotjdos5 Pypgs da kmst5 (Kmst vgrsus spcjots, skmphdj` kmst vgrsusKdccgs kmst, fgcdw gcfdw (shdrt) kmst vgrsus mfdvg gcfdw(cdon) kmst).

M`euvmot jotgrvgotjdos sukh ms uctrmsduo` mo` gcgktrd-bmnogtjk pucsgs.

6. Odo-dpgrmtjvg vgrsus dpgrmtjvg jotgrvgotjdos.;. Dpgrmtjvg jotgrvgotjdos.

Pypgs da dutkdbg bgmsurgsPhg prjbmry dutkdbg bgmsurg wjthjo thg rgvjgw wms thguojdo rmtg da armkturgs. Phg sgkdo`mry dutkdbg bgmsurgswgrg5 tjbg td uojdo, pmjo skmcg, rmong da bdvgbgot, nrjpstrgonth, rgturo td wdrl/prg-joeury spdrt mktjvjtjgs, ngogrmcqumcjty da cjag dutkdbg, auoktjdomc wrjst dutkdbg bgmsurg,pmtjgot smtjsamktjdo mo` kdbpcjkmtjdos g.n. mvmskucmr ogkrdsjs,dstgdmrthrjtjs, ogg` adr aurthgr dpgrmtjdos.

[gmrkh bgthd`s

^g sgmrkhg` thg Fdog, Edjot mo` Buskcg Prmubm Nrdup [pg-kjmcjsg` Vgnjstgr, thg Kdkhrmog Kgotrmc Vgnjstgr da Kdotrdccg`Prjmcs (Phg Kdkhrmog Cjfrmry, kurrgot jssug), BG@CJOG(=:11 g Euog 69=9), GBFM[G (=:89g Euog 69=9), KJOMHC(=:86g Euog 69=9), Cjfrmry mo` Joadrbmtjdo [kjgokg Mfstrmkts(ardb =:1: g Euog 69=9), [kjgokg Kjtmtjdo Jo`gx (J[J ^gf da [kjgokg =:8> g Euog 69=9). [gmrkh strmtgnjgs kmo fg aduo` joMppgo`jx = . Od cmonumng rgstrjktjdos wgrg mppcjg`. Phgfjfcjdnrmphjgs da rgtrjgvg` trjmcs mo` dthgr rgcgvmot pufcjkm-tjdos, jokcu`jon rgvjgws mo` bgtm-momcysgs, wgrg gxmbjog`adr m``jtjdomc mrtjkcgs. Phg adccdwjon wgfsjtgs wgrg sgmrkhg`td j`gotjay uopufcjshg` mo` dondjon stu jgs5 KurrgotKdotrdccg` Prjmcs (www.kdotrdccg`-trjmcs.kdb )< Kgotrg ^mtkh(www.kgotgrwmtkh.kdb )< Prjmcs Kgotrmc (www.trjmcskgotrmc.drn/KcjojkmcPrjmcs.mspx)< Phg WL Omtjdomc Vgsgmrkh Vgnjstgr(www.orr.ohs.ul ). Eduromc da Fdog mo` Edjot [urngryg FrjtjshQdcubg mo` Mbgrjkmo Qdcubg ( www.gefes.drn ), mo` thgMbgrjkmo Mkm`gby da Drthdpmg`jk [urngdos ( www.mmds.drn )wgrg sgmrkhg` bmoumccy.

@mtm kdccgktjdo mo` momcysjs

[tu`y sgcgktjdoPwd muthdrs ([D mo` M[) jo`gpgo`gotcy mppcjg` thg sgmrkhstrmtgny td sgcgkt rgagrgokgs ardb thg mfdvg bgotjdog` `mtm-fmsgs. Phg mrtjkcg tjtcgs mo` mfstrmkts wgrg thgo rgvjgwg`

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 : 6=:

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 3/12

jo`gpgo`gotcy fy [D mo` M[. ^hgo thgrg wms mo jssugrgqujrjon kcmrjty, thg aucc mrtjkcg wms rgtrjgvg` adr aurthgrskrutjoy. Phg twd muthdrs jo`gpgo`gotcy mssgssg` gmkh auccstu`y rgpdrt td sgg whgthgr jt bgt thg rgvjgw‚s jokcusjdokrjtgrjm. ^hgrg ogkgssmry, muthdrs wgrg kdotmktg` adr bdrgjoadrbmtjdo mo` kcmrj kmtjdo da `mtm. Ja thgrg wms `jsmnrgg-bgot rgnmr`jon jokcusjdo, thg sgojdr muthdrs (FJ & VB) wduc`kdbpmrg o`jons mo` ja od kdosgosus kduc` fg rgmkhg`, thgstu`y wms gxkcu`g`.

Mssgssbgot da bgthd`dcdnjkmc qumcjty da jokcu`g` stu`jgsPhg rgvjgw muthdrs usg` m bd`j kmtjdo da thg ngogrjk gvmcu-mtjdo tddc usg` fy thg Kdkhrmog Fdog, Edjot mo` Buskcg

Prmubm Nrdup =; (Pmfcgs = mo` 6). Pwd muthdrs ([D mo` M[)mssgssg` thg bgthd`dcdnjkmc qumcjty da gmkh stu`y. @jsmnrgg-bgot wms rgsdcvg` fy thg sgojdr muthdrs (FJ & VB) kdosgosus.Phg tdtmc qumcjty mssgssbgot skdrg (]M[) wms rgpdrtg` adrgmkh stu`y td njvg mo dvgrmcc jbprgssjdo da thg stu`y fut wmsodt usg` td wgjnht stu`jgs jo bgtm-momcysgs.

@mtm gxtrmktjdo mo` bmomngbgotM `mtm gxtrmktjdo adrb wms `gsjnog`mo` mnrgg` fy thg rgvjgwtgmb. M pjcdt tgst usjon vg mrtjkcgs wms pgradrbg` td gosurgthg adrb‚s kdosjstgoky. Phg adrb wms thgo rg og` mkkdr`-joncy. Jojtjmccy, thrgg muthdrs ([M, M[, mo` [D) gxtrmktg` `mtmjo`gpgo`gotcy mo` rgvjgwg` gxtrmktg` `mtm edjotcy.

Pmfcg = g ]umcjty mssgssbgot jtgbs mo` pdssjfcg skdrgs.

M. ^ms thg mssjnog` trgmtbgot m`gqumtgcy kdokgmcg` prjdr td mccdkmtjdo4

6³

bgthd` `j` odt mccdw `jskcdsurg da mssjnobgot.= ³ sbmcc fut pdssjfcg khmokg da `jskcdsurg da mssjnobgot dr uokcgmr.9 ³ qumsj-rmo`dbjzg` dr dpgo cjst/tmfcgs.

F. ^grg thg dutkdbgs da pmrtjkjpmots whd wjth`rgw `gskrjfg` mo` jokcu`g` jo thg momcysjs (jotgotjdo td trgmt)46 ³ wjth`rmwmcs wgcc `gskrjfg` mo` mkkduotg` adr jo momcysjs.= ³ wjth`rmwmcs `gskrjfg` mo` momcysjs odt pdssjfcg.9 ³ od bgotjdo, jom`gqumtg bgotjdo, dr dfvjdus `jaagrgokgs mo` od m`eustbgot.

K. ^grg thg dutkdbg mssgssdrs fcjo`g` td trgmtbgot stmtus46 ³ gaagktjvg mktjdo tmlgo td fcjo` mssgssdrs.= ³ sbmcc dr bd`grmtg khmokg da uofcjo`jon da mssgssdrs.9 ³ odt bgotjdog` dr odt pdssjfcg.

@. ^grg thg trgmtbgot mo` kdotrdc nrdup kdbpmrmfcg mt gotry4 (Cjlgcy kdoaduo`grs bmy fg mng, wgjnht dr kd bdrfj`jty).6 ³ ndd` kdbpmrmfjcjty da nrdups, dr kdoaduo`jon m`eustg` adr jo momcysjs.= ³ kdoaduo`jon sbmcc< bgotjdog` fut odt m`eustg` adr.9 ³ cmrng pdtgotjmc adr kdoaduo`jon, dr odt `jskussg`.

G. ^grg thg pmrtjkjpmots fcjo` td mssjnobgot stmtus matgr mccdkmtjdo46 ³ gaagktjvg mktjdo tmlgo td fcjo` pmrtjkjpmots.= ³ sbmcc dr bd`grmtg khmokg da uofcjo`jon da pmrtjkjpmots.9 ³ odt pdssjfcg, dr odt bgotjdog` (uocgss `dufcg-fcjo`), dr pdssjfcg fut odt `dog.

A. ^grg thg trgmtbgot prdvj`grs fcjo` td mssjnobgot stmtus46 ³ gaagktjvg mktjdo tmlgo td fcjo` trgmtbgot prdvj`grs.= ³ sbmcc dr bd`grmtg khmokg da uofcjo`jon da trgmtbgot prdvj`grs.9 ³ odt pdssjfcg, dr odt bgotjdog` (uocgss `dufcg-fcjo`), dr pdssjfcg fut odt `dog.

N. ^grg kmrg prdnrmbbgs, dthgr thmo thg trjmc dptjdos, j`gotjkmc46 ³ kmrg prdnrmbbgs kcgmrcy j`gotjkmc.= ³ kcgmr fut trjvjmc `jaagrgokgs.9 ³ odt bgotjdog` dr kcgmr mo` jbpdrtmot `jaagrgokgs jo kmrg prdnrmbbgs.

H. ^grg thg jokcusjdo mo` gxkcusjdo krjtgrjm kcgmrcy `g og`46 ³ kcgmrcy `g og`.= ³ jom`gqumtgcy `g og`.

9 ³ odt `g og`.J. ^grg thg jotgrvgotjdos kcgmrcy `g og`46 ³ kcgmrcy `g og` jotgrvgotjdos mrg mppcjg` wjth m stmo`mr`jsg` prdtdkdc.= ³ kcgmrcy `g og` jotgrvgotjdos mrg mppcjg` fut thg mppcjkmtjdo prdtdkdc js odt stmo`mr`jsg`.9 ³ jotgrvgotjdo mo`/dr mppcjkmtjdo prdtdkdc mrg pddrcy dr odt `g og`.

E. ^grg thg dutkdbg bgmsurgs usg` kcgmrcy `g og`46 ³ kcgmrcy `g og`.= ³ jom`gqumtgcy `g og`.9 ³ odt `g og`.

L. ^grg `jmnodstjk tgsts usg` jo dutkdbg mssgssbgot kcjojkmccy usgauc46 ³ dptjbmc.= ³ m`gqumtg.9 ³ odt `g og`, odt m`gqumtg.

C. ^ms thg survgjccmokg mktjvg, mo` da kcjojkmccy mpprdprjmtg `urmtjdo46 ³ mktjvg survgjccmokg mo` mpprdprjmtg `urmtjdo.

= ³ mktjvg survgjccmokg, fut jom`gqumtg `urmtjdo.9 ³ survgjccmokg odt mktjvg dr odt `g og`.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 :669

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 4/12

@jsmnrggbgots wgrg rgsdcvg` fy kdosgosus dr kdosuctmtjdowjth thg sgojdr rgvjgwgrs (FJ & VB). Ja ogkgssmry, muthdrs da jo`jvj umc trjmcs wgrg kdotmktg` `jrgktcy td prdvj`gkcmrj kmtjdo.

Bgmsurgs da trgmtbgot gaagktKdotjoudus `mtm wms rgkdr`g` ms m bgmo, stmo`mr` `gvjmtjdomo` nrdup sjzg adr gmkh trjmc mrb, wjth trgmtbgot gaagkt fgjon rgpdrtg` ms thg bgmo `jaagrgokg. ^g usg` thg wgjnhtg` bgmo`jaagrgokg td subbmrjsg mkrdss trjmc o`jons sjokg dutkdbgswgrg bgmsurg` kdosjstgotcy mkrdss trjmcs (wjthdut rgkdursg tdusjon stmo`mr`jsg` bgmo `jaagrgokgs). @jkhdtdbdus `mtmwgrg gxprgssg` ms prdpdrtjdos dr rjsls, wjth thg trgmtbgotgaagkt rgpdrtg` ms m rgcmtjvg rjsl dr rjsl `jaagrgokg.

Bjssjon `mtm wms sdunht ardb thg muthdrs. ^hgrg thjs wmsodt pdssjfcg dr `mtm wms bjssjon thrdunh cdss td adccdw up,jotgotjdo-td-trgmt prjokjpcgs wgrg usg . Od mttgbpts da jbputmtjdo wgrg bm`g. Prjmcs wjth buctjpcg mrbs (usjon `jaagrgot `dsgs da PXM) wgrg kdostmtg` td m sjoncg kdbpmrmtdrda PXM dr pcmkgfd. Vgvjgw Bmomngr (VgvBmo 7, Phg Odr`jkKdkhrmog Kgotrg, Kdpgohmngo), wms usg` td prgsgot stu`y

o`jons mo` kdbfjog thg gstjbmtgs da thg trgmtbgot gaagkts.[ubbmry gstjbmtgs da thg dvgrmcc trgmtbgot gaagkts mrgprdvj`g` jo thg adrb da m adrgst pcdt. Phg Bmotgc-Hmgoszgc (H-B) bgthd` wms usg` td kdbfjog stu`jgs usjon xg` gaagktsbd`gc. Phg prgsgokg da stmtjstjkmc hgtgrdngogjty wms mssgssg`thrdunh ] mo` J6 stmtjstjks, m vmcug da ? 79% fgjon kdosj`grg`ms sufstmotjmc hgtgrdngogjty.

[ufnrdup momcysjsPhg adccdwjon suf-nrdup momcysgs wgrg prdspgktjvgcy pcmo-og`. = Phg sjtg da armkturgs (prdxjbmc, bj``cg dr `jstmc) 6< `js-pcmkg` armkturg vgrsus uo`jspcmkg` armkturgs; < `drsmc vgrsusvdcmr mpprdmkh0< typg da bgtmc wmrg xmtjdo usg` (L-wjrgs,Hgrfgrt skrgws, Mqumtrmkl skrgws gtk). @mtm do thg rst thrggsufnrdups wgrg cmkljon mo` jt wms odt pdssjfcg td kdo`uktthgsg momcysgs.

Vgsucts

@gskrjptjdo da stu`jgs

Dog huo`rg` mo` thjrty vg kjtmtjdos wgrg j`gotj g` mspdtgotjmccy rgcgvmot stu`jgs. [ufsgqugot skrutjoy cg` td thggxkcusjdo da :: da thgsg kjtmtjdos. Aucc pufcjkmtjdos wgrgdftmjog` adr ;1 kjtmtjdos. Phgsg wgrg mssgssg` mo` =: aurthgrkjtmtjdos wgrg gxkcu`g`.

Phg rgbmjojon => kjtmtjdos rgagrrg` td =; trjmcs 0,:,==,=0 g 6;

jokcu`g` jo thg stu`y ( Ajn. =). [dbg hmvg fggo pufcjshg`bdrg thmo dokgwjth dr wjthdut gxtrm joadrbmtjdo, sdbgtjbgsuo`gr `jaagrgot kdrrgspdo`jon muthdrs. Phg `mtm ardb thgdrjnjomc pufcjkmtjdo wms usg`< hdwgvgr, gxtrm usgauc joadrbm-tjdo ardb sufsgqugot pufcjkmtjdo wms mcsd usg`. M odtg hmsfggo m``g` td vgrjay thjs whgrg ogkgssmry. Phg buctjpcgrgagrgokgsda thg smbg stu`y wgrg nrdupg` tdngthgr uo`gr thgdrjnjomc(prjbmry)pufcjkmtjdowhjkhwms`godtg`fymomstgrjx.

Pmfcg 6 g Khmrmktgrjstjks da jokcu`g` stu`jgs.

[tu`y O Jotgrvgotjdo Odo-uojdo @jspcmkg` armkturgs

M`dcassdo 699= 7; (=) Odo-dpgrmtjvg FG kmst.(6) Dpgrmtjvg pgrkutmogdus Mkutrmkl skrgw.

KP [kmo Od

Mchd =:>7 :: (=) Odo-dpgrmtjvg FG skmphdj` kmst

(6) Odo-dpgrmtjvg MG skmphdj` kmst

Ycmjo x rmy dr

tdbdnrmb

Zgs

Mrdrm 699> 00 (=) Odo-dpgrmtjvg FG skmphdj` kmst(6) Dpgrmtjvg pgrkutmogdus Mkutrmkl skrgw.

KP [kmo Od

Fdo` 699= ;9 (=) Odo-dpgrmtjvg MG skmphdj` kmst adr 1 wgglsthgo FG skmphdj` kmst uotjc uojdo(6) Dpgrmtjvg pgrkutmogdus Mkutrmkl skrgw.

Ycmjo x rmy Od

Kcmy =::= 6:= (=) Odo-dpgrmtjvg skmphdj` kmst.(6) Odo-dpgrmtjvg Kdccgs‚ kmst

Ycmjo x rmy Zgs

@jms 6997 88 (=) Odo-dpgrmtjvg FG Kdccgs‚ kmst(6) Dpgrmtjvg trgmtbgot usjon Hgrfgrt skrgw

KP [kmo Zgs

Ngccbmo =:8: 7= (=) Odo-dpgrmtjvg FG skmphdj` kmst(6) Odo-dpgrmtjvg MG skmphdj` kmst

Ycmjo x rmy Od

Hmbfj`ng =:: : =6= (=) Odo-dpgrmtjvg Kdccgs‚ kmst jo 69 da wrjststgxjdo (6) Odo-dpgrmtjvg Kdccgs‚ kmst jo 69da wrjst gxtgosjdo

Ycmjo x rmy Zgs

Bmyr =::: ;9 (=) Odo-dpgrmtjvg stmo`mr` kmst(6) Odo-dpgrmtjvg stmo`mr` kmst cdw jotgosjtyuctrmsduo` m`euokt.

KP [kmo Od

Bk]uggo 6998 19 (=) Odo-dpgrmtjvg Kdccgs kmst(6) Dpgrmtjvg pgrkutmogdus Mkutrmkl skrgw.

Ycmjo x rmy Zgs

Ygtty =::: ;0 (=) Odo-dpgrmtjvg skmphdj` kmst.(6) Odo-dpgrmtjvg AVY[K

Ycmjo x rmy Od

[mg`go 699= 87 (=) Odo-dpgrmtjvg FG skmphdj` kmst(6) Dpgrmtjvg trgmtbgot usjon Hgrfgrt skrgw

KP [kmo Zgs

Qjoomrs 699> 6: (=) Odo-dpgrmtjvg FG skmphdj` kmst(6) Dpgrmtjvg trgmtbgot usjon Hgrfgrt skrgw

Ycmjo x rmy Od

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 : 66=

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 5/12

Ajvg trjmcs cddlg` mt `jaagrgot typgs da odo-dpgrmtjvgtrgmtbgots whjcg thg rgst kdbpmrg` odo-dpgrmtjvg td dpgr-mtjvg trgmtbgot. Phgrg wms odt m rmo`dbjsg` dr qumsj-rmo`dbjsg` kdotrdccg` trjmc kdbpmrjon `jaagrgot typgs da dpgrmtjvg trgmtbgot. Hdwgvgr, thg rgvjgw j`gotj g` m sjoncgkm`mvgrjk fjdbgkhmojkmc stu`y kdbpmrjon adur `jaagrgotskrgw xmtjdos adr skmphdj` armkturgs. 60 Phgrg wms vmryjon `gnrggs da bgthd`dcdnjkmc qumcjty da thg jokcu`g` pmpgrs.Phrgg trjmcs wgrg kdosj`grg` td hmvg m`gqumtg kdokgmcbgotprjdr td mccdkmtjdo whjcg thjs wms odt kcgmr jo thg dthgrtrjmcs. Adr dfvjdus rgmsdos, bdst trjmcs hmvg fggo dpgo cmfgctrjmcs.

Bdst da thg jokcu`g` trjmcs j` odt hmvg kdbpmrmfcgnrdupsmt gotry pdjots. M`dcassdo gt mc.=0 jokcu`g` uo`jspcmkg` `jstmcdfcjqug mo` wmjst armkturgs mo` gxkcu`g` `jspcmkg` mo`cdonjtu`jomc armkturgs. Fdo` mo` Qjoomrs gxkcu`g` uo`js-pcmkg` armkturgs.=>,6; Mcthdunh, Bk]uggo gt mc.6= `j odtgxkcu`g thg `jspcmkg` armkturgs, thgrg wgrg docy sgvgouo`jspcmkg` skmphdj` armkturgs jo hgr sgrjgs. @jms mo` [mg`gojokcu`g` `jspcmkg` armkturgs. ==,=: M`dcassdo, Mrdrm, Fdo` mo`Bk]uggo pgradrbg` thgjr xmtjdo pgrkutmogduscy whjcg @jms,[mg`go mo` Qjoomrs usg` mo dpgo tgkhojqug. ==,=0,=1,=>,=:,6=,6;

[dbg muthdrs fgcjgvg thmt dpgo tgkhojqug js supgrjdr ms jtgosurgs m`gqumtg rg`uktjdo da `jspcmkg` armkturgs. Hdwgvgr,dppdogots kcmjb thmt dpgo tgkhojqugs kmo rjsl vmskucmrsuppcy td thg skmphdj` mo` kmusg MQO mo` `gcmyg` dr odo-uojdo. Phg cgonth da adccdw up, thg bd`g da `jmnodsjon odo-uojdo mo` typgs da sgkdo`mry dutkdbgs vmrjg` mbdon `jaagrgot trjmcs.

Modthgr sdurkg da fjms wms thg wmy thmt drjnjomc muthdrs`gmct wjth prdtdkdc odo-m`hgrgots sukh ms bjssjon `mtm mo`cdss adccdw up. Adr gxmbpcg M`dcassdo gt mc.=0 gokduotgrg`m pmrtjkjpmot, whd wms rmo`dbjzg` adr dpgrmtjvg trgmtbgot,fut hjs dpgrmtjdo ndt kdbpcjkmtg` fy thg nuj`g wjrg cddsjon

mo` sufsgqugotcy, m `jaagrgot tgkhojqug wms usg` td x thgarmkturg. Mcthdunh, hg gxkcu`g` thjs pmtjgot ardb hjs momc-ysjs, hg shduc` hmvg momcysg` thjs pmtjgot jo thg dpgrmtjvgnrdup. Do thg dthgr hmo` @jms gt mc.=: `j` odt gxkcu`gpmrtjkjpmots whd `j` odt kdbpcgtg thgjr adccdw up ardb thgmomcysjs.

Pgrbjodcdny kmo fg m sdurkg da fjms. Phg `g ojtjdo da m `jspcmkg` armkturg wms odt kcgmr jo bdst trjmcs. Fdo`gt mc.=> kdosj`grg` m armkturg `jspcmkg` whgo thgrg js m nmpda bdrg thmo = bb. @jms gt mc.=: nmvg m thdrdunh `gskrjp-tjdo da shmpg, kdo nurmtjdos mo` stmfjcjty da hjs sgrjgs,hdwgvgr, hg stmtg` thmt `jspcmkgbgot js `ja kuct td qumotjayrm`jdcdnjkmccy mo`, mt fgst, kmo fg usg` ms m rgcmtjvg jo`j-kmtjdo adr surngry.

[dbg muthdrs usg` thg ombg mfdvg gcfdw kmsts, dthgrskmccg` jt cdon kmst. [dbg rgagrrg` td skmphdj` kmst ms thubfspjkm, mcthdunh sdbg muthdrjtjgs kdosj`gr thgsg mrg odt thgsmbg. Bdrgdvgr, sdbg muthdrs kmckucmtg` thg VDB mo` nrjpstrgonth ms m pgrkgotmngda thg kdotrmcmtgrmc hmo`, dthgrs nmvgmo mktumc vmcug. Mcc thgsg cg` td sjnoj kmot hgtgrdngogjty adrthg kdbpmrg` dutkdbgs.

Gaagkts da odo-dpgrmtjvg jotgrvgotjdos

Kdccgs‚ kmst vgrsus skmphdj` kmstDog trjmc docy kdbpmrg` Kdccgs‚ kmst td thg skmphdj` kmst.=8

Phg trjmc rgkrujtg` 6:= pmtjgots, =08 jo thg Kdccgs‚ kmst nrdupmo` =0; jo thg skmphdj` nrdup. Phg bmjo dutkdbg wms thguojdo rmtg. Phg uojdo wms `jmnodsg` do kcjojkmc mo` rm`jd-cdnjkmc fmsgs (pcmjo X-rmy docy). Phgrg wms od sjnoj kmot`jaagrgokgfgtwggo thg twd trgmtbgot nrdups jo tgrb da uojdormtg fgtwggo thg twd nrdups (V@5 9%, :7% KJ 9.9>g 9.9>,Y ³ 9.:6).

Mfdvg gcfdw vgrsus fgcdw gcfdw skmphdj` kmstPwd stu`jgs kdbpmrg` mo mfdvg gcfdw td m fgcdw gcfdwskmphdj` kmst.0,=7 Phg stu`jgs prdvj`g` sua kjgot `mtm adrbgtm-momcysjs. Phgrg wms od stmtjstjkmccy sjnoj kmot `jaagr-gokg jo thg uojdo rmtg ( Y ³ 9.08) dr tjbg td uojdo ( Y ³ 9.=>)(Ajn. 6, Ajn. ;). Phgrg wms od sjnoj kmot `jaagrgokg jo kdbpcj-kmtjdos rmtg (Y ³ 9.7;).

Kdccgs‚ kmst wjth thg wrjst jo stgxjdo vgrsus Kdccgs‚ kmst wjth thgwrjst jo gxtgosjdoDog trjmc jovgstjnmtg` thg gaagkt da thg wrjst pdsjtjdo doskmphdj` armkturg hgmcjon.69 Ajaty gjnht pmrtjkjpmots wjth mkutgarmkturgs da thg skmphdj` wgrg rmo`dbcy mccdkmtg` adrkdosgrvmtjvg trgmtbgot jo Kdccgs‚ kmst wjth thg wrjst jbbd-fjcjsg` jo gjthgr 69 stgxjdo dr 69 gxtgosjdo. Phgrg wms odtm sjnoj kmot `jaagrgokg jo thg uojdo rmtg (V@5 9.90%, :7% KJ

9.9>g 9.=7, Y ³ 9.0>). Hdwgvgr, thgrg wms m sjnoj kmotrg`uktjdo jo thg wrjst gxtgosjdo jo thg stgxg` wrjst nrdup fymfdut =6 (:7% KJ >.>>g =1.6; , Y ³ 9.9999=). Mcthdunh thgrgwgrg bdrg kdbpcjkmtjdos mo` cgss nrjp strgonth jo thg stgxg`wrjst nrdup, thgsg `j` odt rgmkh stmtjstjkmc sjnoj kmokg cgvgc(Y ³ 9.;9 mo` 9.9> rgspgktjvgcy).

[kmphdj` kmst vgrsus adkusg` rjnj`jty prjbmry skmphdj` kmstDog trjmc kdbpmrg` thg adkusg` rjnj`jty kmst td dthgr stmo`mr`kmsts jo vg kdbbdo joeurjgs. 66 M suf-nrdup da ;7 pmtjgots

Ajnurg = g Acdw khmrt da stu`y sgcgktjdo.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 :666

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 6/12

hm` skmphdj` armkturgs. [jxtggo hm` stmo`mr` skmphdj` kmstmo` =: usg` thg adkusg` rjnj`jty prjbmry skmphdj` kmst(AVY[K). Phgrg wms =99% uojdo rmtg jo fdth nrdups mt 7.6wggls mo` 0.0 wggls rgspgktjvgcy. Mcthdunh thg stu`yshdwg` od sjnoj kmot `jaagrgokg jo thg bmjo dutkdbgs,thgrg js m wgmlogss jo thjs stu`y, bmljon jts vmcug vgry cdw.Jt js m sbmcc stu`y jo whjkh vmrjdus typg da joeurjgs, jokcu`jon sdat tjssug joeurjgs, hmvg fggo jokcu`g`. Jt wms odt kcgmrwhgthgr thg pmrtjkjpmots `j` hmvg kdo rbg` skmphdj`armkturgs. Phjs jbprgssjdo wms strgonthgog` fy thg shdrttjbg adr hgmcjon. Phgrg wms josua kjgot `mtm td momcysgdthgr dutkdbgs.

Phg gaagkt da m`euokt uctrmsduo` trgmtbgot wjth stmo`mr`skmphdj` kmstM sjoncg stu`y jovgstjnmtg` thg gaagkts da cdw jotgosjty, pucsg`uctrmsduo` do mkutg uo`jspcmkg` skmphdj` armkturg hgmcjon. :

Phjrty pmrtjkjpmots (=7 jo gmkh mrb) wjth skmphdj` armkturgtrgmtg` wjth stmo`mr` skmphdj` kmst fut dog nrdup rgkgjvg`m`euokt pucsg` uctrmsduo` trgmtbgot adr 69 bjo m `my. Mccarmkturgs uojtg` fut thg uctrmsduo`g` nrdup hm` sjnoj kmotcyshdrtgr tjbg td hgmc fy mfdut =: `mys, (:7% KJ5 >.>7 g 6:.87 `mys,Y ³ 9.999:).

Gaagkts da dpgrmtjvg vgrsus odo-dpgrmtjvg jotgrvgotjdos

[gvgo trjmcs kdbpmrg` dpgrmtjvg vgrsus odo-dpgrmtjvg trgmt-bgots. ==,=0,=1,=>,=:,6=,6; Dutkdbgs jokcu`g` uojdo rmtg, tjbg tduojdo, rmong da bdvgbgot, nrjp strgonth, kdbpcjkmtjdos mo`kdst.

Yddcg` `mtm shdwg` m scjnhtcy hjnhgr dvgrmcc uojdo rmtg jothg dpgrmtjvg nrdup mo` thjs wms stmtjstjkmccy sjnoj kmot (V@

1%, :7% KJ5 =%g ==%, Y ³ 9.9=) (Ajn. 0). Hdwgvgr, thgrg wmssjnoj kmotcy hjnhgr rmtg da kdbpcjkmtjdos jo thg dpgrmtjvgnrdup (V@ =9%, :7% KJ5 7%g =1%, Y ³ 9.9990) (Ajn. 7). Phgrg jsm sjnoj kmot hgtgrdngogjty da J6 da 71% mo` 8=% rgspgktjvgcy.

[ufnrdup momcysjs shdwg` thmt thgrg wms od sjnoj kmot`jaagrgokg jo uojdo rmtg fgtwggo dpgrmtjvg mo` odo-dpgrmtjvg

trgmtbgot mbdon thg trjmcs thmt jokcu`g` uo jspcmkg`skmphdj` armkturgs docy, whjcg thgrg wmsm hjnhgruojdo rmtg jothg dpgrmtjvg trgmtbgot jo thg trjmcs thmt jokcu`g` `jspcmkg`skmphdj` armkturgs (Ajns. 1 mo` >).

Dpgo tgkhojqug wmssupgrjdr td pgrkutmogdus tgkhojqug jomkhjgvjon uojdo jo skmphdj` armkturgs. Prjmcs thmt kdbpmrg`dpgo tgkhojqug td odo-dpgrmtjvg trgmtbgot hm` m hjnhgruojdo rmtg (V@ :%, :7% KJ5 ;%g =7%, Y ³ 9.997, J6 ³ 17%)whgrgms trjmcs kdbpmrg` pgrkutmogdus xmtjdo td odo-dpgr-mtjvg shdwg` od sjnoj kmot `jaagrgokg fgtwggo thg twdjotgrvgotjdo (V@ =%, :7% KJ5 1%g 8%, Y ³ 9.>>, J6 ³ =0%)(Ajn. 8).

Pwd trjmcs prdvj`g` `mtm mfdut thg kdst gaagktjvgogss da dpgrmtjvg trgmtbgot vgrsus odo-dpgrmtjvg trgmtbgot. =1,6; Msgxpgktg` thg `mtm wms odo-pmrmbgtrjk mo` momcysg` jom sgpmrmtg tmfcg (Pmfcg ;).

Phg VDB, nrjp strgonth mo` rgturo td wdrl `mtm kduc`odt fg pddcg` smagcy fgkmusg thgy hmvg fggo rgpdrtg` jovmrjdus wmys. ^g subbmrjsg` thg rgsucts jo ( Pmfcg 0).Kmutjdus momcysjs da thg rgsuct shdws thmt thgrg js odsufstmotjvg `jaagrgokg jo thg VDB, fut thgrg js m kdosjstgottrgo` thmt dpgrmtjdo bmy jbprdvg nrjp strgonth mo` gmrcyrgturo td wdrl. Hdwgvgr, thgrg mrg bmoy kdoaduo`jon amktdrs adr thg cmttgr mo` jt shduc` fg jotgrprgtg` wjthkmutjdo.

Wojdo rmtg vgrsus tjbg td uojdo

Mo jbpdrtmot kcjojkmc mo` rgsgmrkh qugstjdo js thg mvgrmngcgonth da tjbg adr m armkturg skmphdj` td uojtg mo` whgom `gcmyg` uojdo fgkdbgsm odo-uojdo. Mcc trjmcs prdvj`g` `mtmmfdut tjbg td uojdo< wg tmfucmtg` kubucmtjvg uojdo rmtgs

mnmjost tjbg td uojdo whgogvgr m stu`y prdvj`g` usgauc `mtmtd `d sd. Adr odo-dpgrmtjvg jotgrvgotjdos 7:.1% da armkturgsuojtg` wjthjo 8 wggls, :9.=% uojtg` wjthjo =6 wggls mo`:6.0% da armkturgs uojtg` wjthjo 60 wggls. Jbbdfjcjsmtjdo da m armkturg` skmphdj` fgydo` =6 wggls bmy hgcp docy 6.;% tdmkhjgvg uojdo (Pmfcg 7).

Ajnurg ; g Prjmcs da mfdvg gcfdw vs. fgcdw gcfdw kmst5 Adrgst pcdt da tjbg td uojdo.

Ajnurg 6 g Prjmcs da mfdvg gcfdw vs. fgcdw gcfdw kmst5 Adrgst pcdt da uojdo rmtg.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 : 66;

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 7/12

@jskussjdo

Phjs rgvjgw spgkj kmccy sggls td jovgstjnmtg thg gvj`gokg adrthg gaagktjvgogss mo` smagty da vmrjdus trgmtbgot dptjdos da mkutg skmphdj` armkturgs. Phg bmjo qugstjdos wg wmotg` tdm``rgss mrg5

=. Mrg thgrg sjnoj kmot `jaagrgokgs fgtwggo `jaagrgot typgs da odo-dpgrmtjvg trgmtbgots adr mkutg armkturgs da thgskmphdj` jo tgrbs da dutkdbg mo` smagty4

6. Mrg thgrg sjnoj kmot `jaagrgokgs fgtwggo `jaagrgot typgs da dpgrmtjvg trgmtbgots adr mkutg armkturgs da thg skmphdj` jotgrbs da dutkdbg mo` smagty4

;. Mrg thgrg sjnoj kmot `jaagrgokgs fgtwggo dpgrmtjvgkdbpmrg` td odo-dpgrmtjvg trgmtbgots adr thg mkutg armk-turgs da thg kmrpmc skmphdj jo tgrbs da dutkdbg mo`smagty4

Phgrg wgrg vg odo-dpgrmtjvg trgmtbgot bd`mcjtjgs thmt

hmvg fggo jovgstjnmtg` fy VKPs5 m fgcdw gcfdw skmphdj` kmst,mo mfdvg gcfdw skmphdj` kmst, Kdccgs‚ kmst, m adkusg` rjnj`jtyprjbmry skmphdj` kmst mo` uctrmsduo` m`euokt td m skmphdj`kmst. Phgrg wms od `jaagrgokg jo thg uojdo rmtg.

Kcmy gt mc.=8 jovgstjnmtg 6:= pmtjgots wjth kdo rbg`skmphdj` armkturgs, =08 jo thg Kdccgs‚ kmst nrdup mo` =0; jo thgskmphdj` kmst nrdup. Phg bmjo dutkdbg wms thg uojdo rmtg.Phg uojdo wms `jmnodsg` do kcjojkmc mo` rm`jdcdnjkmc fmsgs(pcmjo x rmy docy). Hg shdwg` thmt thgrg wms od sjnoj kmot`jaagrgokg fgtwggo thg skmphdj` kmst mo` Kdccgs‚ kmst jomkhjgvjon skmphdj` uojdo. Hdwgvgr, thg `jmnodsjs da odo-uojdo wms odt rdfust, pmrtcy fgkmusg muthdrs rgcjg` do pcmjox-rmy mo` kcjojkmc gxmbjomtjdo docy. Gjnhtggo pmtjgots jo thg

skmphdj` nrdup mo` =: pmtjgots jo thg Kdccgs‚ kmst nrdup wgrgcmfgccg` ms hmvjon –prdfmfcg uojdo‒. Mcthdunh thg muthdrsstmtg` thmt thgsg pmtjgots rgbmjog msybptdbmtjk mtdog ygmr, wg `d odt lodw whmt hmppgog` td thgb matgr thjs

pgrjd` g thgy bmy wgcc hmvg msybptdbmtjk odo-uojdo. Jtwduc` hmvg fggo gxtrgbgcy vmcumfcg ja thgsg pmtjgots hm` hm`m KP skmo td kdo rb uojdo. Phg stu`y shdwg` thgrg wmsm hjnh odo-uojdo rmtg jo thg prdxjbmc pdcg armkturgs (;=%).Phgrg wgrg bdrg prdxjbmc pdcg armkturgs jo thg skmphdj` kmstnrdup (: vgrsus 6). Phg muthdrs rjnhtcy kdokcu`g` thmt thgrgwgrg tdd agw prdxjbmc pdcg armkturgs td jovgstjnmtg thgb

aurthgr. Yddcg` `mtm ardb dthgr trjmcs suppdrtg` Kcmy‚skdokcusjdo thmt thg Kdccgs‚ kmst mkhjgvg` m kdbpmrmfcg uojdormtg td thmt da thg skmphdj` kmst. Dur pgrsdomc vjgw js thmtKdccgs‚ kmst js m`gqumtg whgo jt js odt bm`g da pcmstgr da Ymrjs.Phg cmttgr js wgml mo` ngts frdlgo whgo pmtjgot `d kgrtmjotmsls sukh ms `rjvjon.

Yddcg` jo`jvj`umc pmrtjkjpmots `mtm ardb dthgr stu`jgskdo rbg` Kcmy‚s kdokcusjdo thmt Kdccgs‚ kmst js m`gqumtg adrtrgmtjon skmphdj` armkturg.

M Kdccgs‚ kmst wjth wrjst jo stgxjdo hm` od m`vmotmng dvgrm Kdccgs‚ kmst wjth wrjst jo gxtgosjdo jo mkhjgvjon uojdo mo` jtwms mssdkjmtg` wjth sjnoj kmotcy bdrg prdfcgbs. Phgrg wms`gkrgmsg` jo wrjst VDB mo` nrjp strgonth jo thg pmrtjkjpmots

thmt wgrg trgmtg`wjth Kdccgs‚ kmst wjth wrjst jostgxjdo. Hgokgjt js odt rgkdbbgo`g`.

[gvgrmc muthdrs m`vdkmtg` thg usg da thg mfdvg gcfdw kmsttd mvdj` shgmrjon gaagkts da prdomtjdo mo` supjomtjdo do thgskmphdj` armkturgs. Pwd trjmcs jovgstjnmtg` thjs jssug (Mchd=:>7< Ngccbmo =:8:) wjth =7= pmrtjkjpmots.0,=7 Phgrg wmssjnoj kmot hgtgrdngogjty fgtwggo thg twd trjmcs ms gvj`got fyhjnh J6 (>9%) mo` thgrgadrg thg rgsuct shduc` fg jotgrprgtg`wjth kmutjdo. Phg twd stu`jgs amjcg` td shdw thmt mfdvg gcfdwkmst prd`ukgs m hjnhgr uojdo rmtg. Mcthdunh, thgrg wms sdbgrgsj`umc gcfdw stjaaogss thjs wms rgsdcvg` mt sufsgqugotadccdw up (Ajns.6 mo` ; ). Ngccbmo gt mc.0 mcsd kdokcu`g` thmt mojojtjmc pgrjd`da jbbdfjcjsmtjdo da sjxwggls jo mo mfdvg gcfdw

kmst jbprdvg` thg tjbg td uojdo (:.7 wggl vgrsus =6.>). ^ggxprgss dur rgsgrvmtjdo do thjs kdokcusjdo adr thg adccdwjon rgmsdos5 Hjs trjmc wms uo`grpdwgrg` td suppdrt thjs kdokcu-sjdo, thgy gxkcu`g` thg 1 `gcmyg uojdos ardb thg shdrt

Ajnurg 7 g Prjmcs da dpgrmtjvg vs. odo-dpgrmtjvg jotgrvgotjdo5 Adrgst pcdt da kdbpcjkmtjdos rmtg.

Ajnurg 0 g Prjmcs da dpgrmtjvg vs. Odo-dpgrmtjvg jotgrvgotjdo5 Adrgst pcdt da uojdo rmtg.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 :660

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 8/12

thubfspjkm nrdup fut thgy `j odt `d thgsmbg wjth thg dthgrmrb da thg trjmc. Bdrgdvgr, tjbg td uojdo ms mo dutkdbg jskcdsgcy rgcmtg` td thg argqugoky da mssgssbgot adr thg uojdo.Phgy gvmcumtg` thg uojdo gvgry ; g 0 wggls whjkh kmsts `duftmfdut thg mkkurmky da thg tjbg td uojdo thgy shdwg`.

Cdw jotgosjty, pucsg` uctrmsduo` bmy spgg` skmphdj`armkturg hgmcjon (0;.6 =9.: vgrsus 16 =:.6 `mys). Phjs hmsfggo prdbdtg` fy m sjoncg sbmcc trjmc pufcjshg` jo m odo-drthdpmg jk eduromc jo Ngrbmo.: Jt bmy hmvg m rdcg joprdbdtjon hgmcjon fut thjs ogg`s aurthgr jovgstjnmtjdo fym cmrngr VKP.

^g wgrg mfcg td o` sgvgo kdbpcgtg` trjmcs (modthgr thrggdondjon/uokcmssj g` trjmcs) thmt kdbpmrg` dpgrmtjvg vgrsusodo-dpgrmtjvg trgmtbgot. Phg pddcg` `mtm ardb 09; amvdursdpgrmtjvg trgmtbgot dvgr thg odo-dpgrmtjvg trgmtbgot jotgrbsda uojdo rmtg. Phg dvgrmcc rjsl `jaagrgokg js 1% docy (:7%KJ =%g ==%, Y ³ 9.9=). Phgrg js m hjnh hgtgrdngogjty ms shdwofy m hjnh J6 vmcug da 71%. Jo m``jtjdo td thg pcmy da khmokg,hgtgrdngogjty bmy mrjsg fgtwggo trjmcs fgkmusg da vmrjmtjdosjo kcjojkmc prmktjkg dr trjmc bgthd`dcdny. Hgtgrdngogjty wms

gxpcdrg` aurthgr fy suf-nrdup momcysjs whjkh uokdvgrg` twdjotgrgstjon o`jons. Dpgrmtjvg jotgrvgotjdo `j` odt jokrgmsguojdo rmtg jo uo jspcmkg` armkturgs, hdwgvgr, jo thg trjmcs thmtrgkrujtg` pmtjgots wjth `jspcmkg` mo` uo`jspcmkg` armkturgs,dpgrmtjvg jotgrvgotjdo prdvj`g` m hjnhgr uojdo rmtg. Woadr-tuomtgcy muthdrs da thgsg trjmcs `j` odt prdvj`g suf-nrdupmomcysjs da thgjr sgrjgs td kdo rb thmt thjs gxtrm uojdo rmtgwms `ug td m hjnhgr uojdo rmtg mbdon thg `jspcmkg` armkturgs.Phg auoogc pcdt shdwg` m sjbjcmr o jon. Mcthdunh, thgstu`jgs mrg `jstrjfutg` sybbgtrjkmccy mrduo` thg bgmo rjsl`jaagrgokg, kmrgauc skrutjoy shdws thg trjmcs thmt `j` odtgxkcu`g thg `jspcmkg` armkturgs mrg cdkmtg` do thg rjnht sj`gwjth (Bk]uggo 6998, @jms 6997) `dbjomtg` thg gaagkt. =:,6=

Kdotrmry td thg gxpgktmtjdo, dpgo tgkhojqug wms supgrjdrtd pgrkutmogdus tgkhojqug jo mkhjgvjon uojdo jo skmphdj`armkturgs. Ygrkutmogdus xmtjdo js thdunht td fg mssdkjmtg`wjth cgss sdat tjssug `mbmng, hgokg od jotgragrgokg wjth fcdd`suppcy mo` fdog hgmcjon. Fut dur stu`y `j` odt suppdrt thjsmssubptjdo. Phgrg js m hjnhgr uojdo rmtg jo thgtrjmcs thmt usg`dpgo tgkhojqug thmo thg trjmcs thmt usg` pgrkutmogdus

Ajnurg > g [ufnrdup momcysjs da uojdo rmtg fy armkturg `jspcmkgbgot5 Auoogc pcdt.

Ajnurg 1 g [ufnrdup momcysjs da uojdo rmtg fy armkturg `jspcmkgbgot5 Adrgst pcdt.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 : 667

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 9/12

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 10/12

prdvj`g` `mtm mfdut thg kdst gaagktjvgogss da dpgrmtjvgtrgmtbgot vgrsus odo-dpgrmtjvg trgmtbgot (Mrdrm 699> ardbMustrjm mo` Qjoomrs 699> ardb [wg`go) ( Pmfcg ;).=1,6;

Odo-dpgrmtjvg trgmtbgot kdst js rgcmtjvgcy sjbjcmr jo fdthtrjmcs (6;1; Gurds mo` 679> Gurds rgspgktjvgcy), fut thgdpgrmtjvg kdst js surprjsjoncy cdw jo Mrdrm gt mc.=1 (69:> Gurdsmo` ;=77 Gurds). Kmrgauc momcysjs da thg kdst frgml dwo

shdwg` thg bmjo `jaagrgokg wms `ug td tjbg daa wdrlkdbpgosmtjdo. Ymrtjkjpmots jo thg dpgrmtjvg nrdup wgrg daa wdrl adr >.7 8.= `mys vgrsus 70.1 0:.1 `mys jo thgodo-dpgrmtjvg nrdup. Phg gstjbmtg` kdbpgosmtjdo wms699 6=> Gurds vgrsus =07; =;6= Gurds rgspgktjvgcy. ^gthjol jt uorgmcjstjk td gxpgkt pmtjgots td nd fmkl td wdrlwjthjo m wggl ardb thgjr surngry. Mcsd, Mrdrm gt mc.=1 gxkcu`g`

Pmfcg 7 g Kubucmtjvg uojdo rmtg pgr uojt tjbg (wggls) da trgmtbgot.

[tu`y J@ Jotgrvgotjdo 3 1 8 =9 =6 =1 =8 66 ? 60 ^

M`dcassdo 699= [kmphdj` kmst 66/61 60/61 61/61Dpgrmtjvg 69/6; 66/6; 66/6;

Mchd =:>7 FG [kmphdj` kmst 7=/7;MG [kmphdj` kmst 0=/0>

Mrdrm 699> [kmphdj` kmst 9/6; 9/6; =:/6; 6;/6;Dpgrmtjvg 6/6= 69/6= 69/6=

Fdo` 699= MG [kmphdj` kmst ==/==Dpgrmtjvg =0/=0

Kcmy =::= [kmphdj` kmst =6:/=0;Kdccgs‚ kmst =;;/=08

@jms 6997 Kdccgs‚ kmst ;0/00 ;7/00

Dpgrmtjvg 0;/00 0;/00Ngccbmo =:8: FG [kmphdj` kmst =>/6; 6=/6;MG [kmphdj` kmst 61/68 68/68

Hmbfj`ng =::: Acgxg` rjst jo Kdccgs‚ kmst 7;/78Gxtgo`g` wrjst jo Kdccgs‚ kmst 77/1;

Bmyr =::: [kmphdj` kmst od W[ =7/=7[kmphdj` kmst wjth W[ =7/=7

Bk]uggo 6998 Kdccgs‚ kmst 61/;9Dpgrmtjvg 6:/;9

Ygtty =::: [kmphdj` kmst =7/=7AVY[K =:/=:

[mg`go 699= [kmphdj` kmst 68/;9Dpgrmtjvg ;=/;6

Qjoomrs 699> [kmphdj` kmst ;0/;7 ;7/;7Dpgrmtjvg 09/09 ;7/;7

Kubucmtjvg uojdo rmtg Odo-dpgrmtjvg 7:.1% :9.=% :6.0%Kubucmtjvg uojdo Mcc typgs >>.7% :=.:% :;.0%

Pmfcg 0 g [ubbmry o`jons da rmong da bdvgbgot, nrjp strgonth mo` rgturo td wdrl.

[tu`y J@ Jotgrvgotjdo Vmong da bdvgbgot Nrjp strgonth Vgturo td wdrl Odtgs

M`dcassdo 699= Odo-dpgrmtjvg 8>% (O[) * 8;% (O[) Wokcgmr * O[³ odrbmc sj`gDpgrmtjvg :0% (O[) 88%(O[) 1 wggls

Mrdrm 699> Odo-dpgrmtjvg =09* 06 ln =9.6 ln 8 > wggls * Acgxjdoÿ Gxtgosjdo

mrk mt ; bdoths.Dpgrmtjvg =;6 * 01 ln =9.> ln = = wggl

Fdo` 699= Odo-dpgrmtjvg =60 > ;1 ln ; ln =7 9.> wgglsDpgrmtjvg =;: 1 09 ln 6.7 ln 8 9.> wggls

@jms 6997 Odo-dpgrmtjvg :;.0% (O[)* :=.1% (O[)* 1 wggls * Mt dog ygmrDpgrmtjvg :0.=% (O[)* ::.=% (O[)* 7 wggls

Bk]uggo 6998 Odo-dpgrmtjvg :0% (O[) * :7% (O[) * ==.0 wggls * Mt dog ygmrDpgrmtjvg :8% (O[) * =96% (O[) ** ;.8 wggls ** Bmy rgstgkt hmo`

`dbjomokg mo`rgsgmrkhgrs‚ m`eustbgot.

[mg`go 699= Odo-dpgrmtjvg :8% (O[) 88% (O[) =7 =9 wgglsDpgrmtjvg :1% (O[) :7% (O[) 1 ; wggls

Qjoomrs 699> Odo-dpgrmtjvg 6:/;7 hm`odrbmc VDB

6>/;7 hm`odrbmc strgonth

=9.7 wggls

Dpgrmtjvg 6:/09 hm`

odrbmc VDB

;9/09 hm`

odrbmc strgonth

7.7 wggls

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 : 66>

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 11/12

sgca-gbpcdyg` mo` uogbpcdyg` pmtjgots whjkh bmy hmvg mojbpmkt do kdst gaagktjvgogss momcysjs. ^g fgcjgvg thmtdpgrmtjdos td x skmphdj armkturg kdst bdrg, futuoadrtuomtgcy thg `mtm wms odt strdon godunh td suppdrt durfgcjga.

Phgrg wms od VKP thmt kdbpmrg` `jaagrgot dpgrmtjvgbd`mcjtjgs hgm` td hgm`. Phg `mtm wms odt sua kjgot tdpgradrb mbdon stu`jgs suf-nrdup momcysjs. Dog km`mvgrjkstu`y Pdfy gt mc. 60 kdbpmrg` m Hgrfgrt skrgw, mo MD ;.7-bbkmooucmtg` skrgw, m Hgrfgrt-^hjppcg skrgw, mo Mkutrmlkmooucmtg` skrgw, mo` m Wojvgrsmc Kdbprgssjdo skrgw usjon kykcjkmc fgo`jon cdm`s. Phg stu`y `gbdostrmtg` thmtkdbbdocy usg` skrgws adr xmtjdo da thg skmphdj` vmrysjnoj kmotcy jo thgjr mfjcjty td rgsjst kykcjkmc fgo`jon cdm`s.Phjs stu`y wms gxkcu`g` ms jt `j` odt bggt dur jokcusjdokrjtgrjm.

Muthdrs‚ kdokcusjdos

[kmphdj` armkturg kmo fg trgmtg` fy m Kdccgs‚ kmst adr up td =6wggls. Phg wrjst shduc` odt fg jo stgxjdo. M skmphdj` kmst jsms ndd` ms m Kdccgs‚ kmst fut js cgss kdovgojgot adr thg pmtjgotmo` thg stmaa. Phjs shduc` mkhjgvg m uojdo rmtg da :9%. Phgrgjs od m`vmotmng da mo mfdvg gcfdw kmst dvgr m fgcdw gcfdwkmst.

Phgrg js od gvj`gokg thmt dpgrmtjvg trgmtbgot adr uo`js-pcmkg` skmphdj` armkturg prdvj`g m hjnhgr uojdo rmtg mo` jt jsmssdkjmtg` wjth m hjnhgr kdbpcjkmtjdo rmtg. Hdwgvgr, thgrg jsjo`jrgkt gvj`gokg thmt jt bmy prdvj`g m hjnhgr uojdo rmtg jo`jspcmkg` armkturgs.

^g rgkdbbgo` –m odo mnnrgssjvg mpprdmkh‒ whgo mcc

uo jspcmkg` skmphdj` armkturgs mrgtrgmtg` ododpgrmtjvgcy adr=6 wggls mo` td kdosj`gr surngry mt =6 wggls ja thgrg js odsjnos da uojdo.

Phg gxkgptjdo adr thjs rgkdbbgo`mtjdo js prdxjbmcskmphdj` armkturg whjkh js rmrg mo` mssdkjmtg` wjth m hjnhodo-uojdo rmtg. Phg gvj`gokg js odt sua kjgot td m`vdkmtg adrdr mnmjost surngry. Phg hjnh odo-uojdo rmtg da prdxjbmc pdcgarmkturgs bmy eustjay thg rjsl da surnjkmc jotgrvgotjdo.Hdwgvgr, thg cmst stmtgbgot ogg`s aurthgr gxpcdrmtjdo fym wgcc `gsjnog` rgsgmrkh stu`jgs.

Dpgrmtjvg trgmtbgot da skmphdj` armkturg js nrdwjon jodrthdpmg`jk prmktjkg mo` thgrg bmy fg m rdcg adr sukh nrdwth.Hdwgvgr, thg kdrrgkt jo`jkmtjdos shduc` fg j`gotj g` aurthgr

fy tmrngtg` rgsgmrkh. M pdssjfcg gxmbpcg js td kdo`ukt m cmrngrgtrdspgktjvg momcysjs da odo uojtg` skmphdj` armkturgs tdj`gotjay sufnrdupswjth pddr prdnodstjk amktdrs adr odo-uojdosukh ms `jspcmkgbgot dr sjtg da thg armkturg, thgo td sgtm prdpgrcy `gsjnog` VKP td jovgstjnmtg whgthgr gmrcy surngrydaagr m hjnhgr uojdo rmtg jo thgsg suf-nrdup da pmtjgots.Bdrgdvgr, thg fgst dpgrmtjvg mpprdmkh ogg`s td fg gxpcdrg`aurthgr kdbpmrjon pgrkutmogdus mpprdmkh vgrsus dpgo

xmtjdo.

Mppgo`jx M. [uppcgbgotmry `mtm

[uppcgbgotmry `mtm rgcmtg` td thjs mrtjkcg kmo fg aduo` docjogmt `dj5=9.=9=1/e.surng.69=6.9;.990.

r g a g r g o k g s

=. Frjolgr B. Vgvjgw da drthdpmg`jk trmubm. Cdo`do5 ^F [muo`grs<699=.

6. Bjrjk @, Qukgtjk K, [godhrm`slj L, Bjkuodvjk C. Jokj`gokg mo`

sgvgrjty da `gngogrmtjvg khmongs jo thg wrjst jopsgu`dmrthrdsjs da thg skmphdj` fdog. [rp Mrh Kgcdl Cgl 699=Bmrg Mpr<=6: (; g 0)51=g 7.

;. Vufy CL, [tjosdo E, Fgcsly BV. Phg omturmc hjstdry da skmphdj`odo-uojdo. M rgvjgw da aty- vg kmsgs. E Fdog Et [urn Mb =:87Bmr<1> (;)5068g ;6.

0. Ngccbmo H, Kmputd VE, Kmrtgr Q, Mfducm m M, BkLmy B.Kdbpmrjsdo da shdrt mo` cdon thubf-spjkm kmsts adr odo-`jspcmkg` armkturgs da thg kmrpmc skmphdj`. E Fdog Et [urn Mb=:8: Bmr<>= (;)5;70g >.

7. Frddbg M, Kg`gcc KM, Kdccggo [. Hjnh pcmstgr jbbdfjcjsmtjdoadr armkturg da thg kmrpmc skmphdj` fdog. Mktm Khjr [kmo =:10Mun<=68 506g 0.

1. Qgr`mo K. Armkturgs da thg skmphdj`. [urn Kcjo Odrth Mb =:19Mpr<09 501=g 0.

>. Ygtrmkjk F. Jbbdfjcjzmtjdo da thg skmphdj` fdog (mctgrmtjvgfgtwggo uppgr mo` adrgmrb pcmstgr). Hmo`khjr Bjlrdkhjr YcmstKhjr =:87 Emo<=> (=)57;g 0.

8. Hgrfgrt PE, Ajshgr ^G. Bmomngbgot da thg armkturg` skmphdj`usjon m ogw fdog skrgw. E Fdog Et [urn Fr =:80 Emo<11 (=)5==0g 6;.

:. Bmyr G, Vu`zlj BB, Vu`zlj B, Fdrkhmr`t F, Hmussgr H,Vutgr M. @dgs cdw jotgosjty, pucsg` uctrmsduo` spgg` hgmcjon da skmphdj` armkturgs4 Hmo`khjr Bjlrdkhjr Ycmst Khjr 6999Bmr<;6 (6)5==7g 66.

=9. @jvgcfjss FE, M`mbs F@. Gcgktrjkmc mo` uctrmsduo` stjbucmtjdoadr skmphdj` armkturgs. Hmo` Kcjo 699= Odv<=> (0)51:>g >9=\xg xjR.

==. [mg`go F, Pdrolvjst H, Ydozgr [, Hdncuo` B. Armkturg da thgkmrpmc skmphdj`. M prdspgktjvg, rmo`dbjsg` =6-ygmr adccdw-up kdbpmrjon dpgrmtjvg mo` kdosgrvmtjvg trgmtbgot. E Fdog Et[urn Fr 699= Bmr<8; (6)56;9g 0.

=6. Hjnnjos EYP, Nrggo [. Kdkhrmog hmo`fddl adr systgbmtjk rgvjgwsda jotgrvgotjdos 0.6.7 \up`mtg` Bmy 6997R 6997.

=;. Bm`hdl V, [hmw CE, Gccjdtt E, Njccgspjg C@. Fdog, Edjot mo`Buskcg Prmubm Nrdup (adrbgrcy thg Buskucdslgcgtmc JoeurjgsNrdup). Mfdut thg Kdkhrmog Kdccmfdrmtjdo (KdccmfdrmtjvgVgvjgw Nrdups (KVN‚s)) 699>, Jssug =. Kdkhrmog @mtmfmsg [ystVgv 699>.

=0. M`dcassdo C, Cjo`mu P, Mrogr B. Mkutrml skrgw xmtjdo vgrsuskmst jbbdfjcjsmtjdo adr uo`jspcmkg` skmphdj` wmjst armkturgs. E Hmo` [urn \FrR 699= Euo<61 (;)5=:6g 7.

=7. Mchd M, Lmolmmopmm. Bmomngbgot da armkturg` skmphdj`fdog. M prdspgktjvg stu`y da =99 armkturgs. Mktm Drthdp [kmo`=:>7 Odv<01 (7)5>;>g 0;.

=1. Mrdrm V, Nskhwgotogr B, Lrmppjongr @, Cutz B, Fcmuth B,Nmfc B. Ajxmtjdo da odo`jspcmkg` skmphdj` armkturgs5 bmljon trgmtbgot kdst gaagktjvg. Yrdspgktjvg kdotrdccg` trjmc. MrkhDrthdp Prmubm [urn 699> Emo<=6> (=)5;:g 01.

=>. Fdo` K@, [hjo MZ, BkFrj`g BP, @md L@. Ygrkutmogdus skrgwxmtjdo dr kmst jbbdfjcjzmtjdo adr odo`jspcmkg` skmphdj`

armkturgs. E Fdog Et [urn Mb 699= Mpr<8;-M (0)508;g 8.=8. Kcmy OV, @jms EE, Kdstjnmo Y[, Nrgnn YE, Fmrtdo OE. Ogg` thg

thubf fg jbbdfjcjsg` jo skmphdj` armkturgs4 M rmo`dbjsg`prdspgktjvg trjmc. E Fdog Et [urn Fr =::= [gp< >; (7)5868g ;6.

=:. @jms EE, ^jc`jo KE, Fhdwmc F, Phdbpsdo EV. [hduc mkutgskmphdj` armkturgs fg xg`4 M rmo`dbjzg` kdotrdccg` trjmc. EFdog Et [urn Mb 6997 Dkt<8> (=9)56=19g 8.

69. Hmbfj ng EG, @gsmj QQ, [khrmoz YE, Kdbpsdo EY, @mvjs PV,Fmrtdo OE. Mkutg armkturgs da thg skmphdj`. Prgmtbgot fy kmstjbbdfjcjsmtjdo wjth thg wrjst jo stgxjdo dr gxtgosjdo4 E Fdog Et[urn Fr =::: Emo<8= (=)5:=g 6.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 :668

8/9/2019 FX scaphoid-review

http://slidepdf.com/reader/full/fx-scaphoid-review 12/12

6=. Bk]uggo BB, Ngcflg BL, ^mlg gc M, ^jcc GB, Nmgfcgr K.Ygrkutmogdus skrgw xmtjdo vgrsus kdosgrvmtjvg trgmtbgotadr armkturgs da thg wmjst da thg skmphdj`5 m prdspgktjvgrmo`dbjsg` stu`y. E Fdog Et [urn Fr 6998 Emo<:9 (=)511g >=.

66. Ygtty MK^K. M rmo`dbjzg`, kdotrdccg` kdbpmrjsdo da m`eustmfcg adkusg` rjnj`jty prjbmry kmstjon tgkhojqug wjthstmo`mr` pcmstgr da Ymrjs/syothgtjk kmstjon tgkhojqug jo thgbmomngbgot da armkturgs mo` dthgr joeurjgs. E Drthdpmg`jkOurs =:::< 6 (6)5:7g =96.

6;. Qjoomrs F, Glgostmb AM, Ngr`jo F. Kdbpmrjsdo da `jrgkt mo`jo`jrgkt kdsts da jotgromc xmtjdo mo` kmst trgmtbgot jo mkutgskmphdj` armkturgs5 m rmo`dbjzg` trjmc jovdcvjon 76 pmtjgots.Mktm Drthdp 699> Dkt<>8 (7)51>6g :.

60. Pdfy GF, Futcgr PG, BkKdrbmkl PE, Emymrmbmo N. Mkdbpmrjsdo da xmtjdo skrgws adr thg skmphdj` `urjon mppcjkmtjdo da kykcjkmc fgo`jon cdm`s. E Fdog Et [urn Mb =::>Mun<>: (8)5==:9g >.

67. Fujezg NM, @ddrofgrn EO, Hmb E[, Vjon @, Fhmo`mrj B,Yddcbmo V^. [urnjkmc kdbpmrg` wjth kdosgrvmtjvg trgmtbgotadr mkutg odo`jspcmkg` dr bjojbmccy `jspcmkg` skmphdj`armkturgs5 m systgbmtjk rgvjgw mo` bgtm-momcysjs da rmo`dbjzg` kdotrdccg` trjmcs. E Fdog Et [urn Mb 69=9 Euo<:6 (1)5=7;0g 00.

61. Zjo UN, Uhmon EF, Lmo [C, ^mon Y. Prgmtbgot da mkutgskmphdj` armkturgs5 systgbmtjk rgvjgw mo` bgtm-momcysjs. KcjoDrthdp Vgcmt Vgs 699> Euc<019 5=06g 7=.

t h g s u r n g d o = 9 ( 6 9 = 6 ) 6 = 8 g 6 6 : 66: