[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
May 1974

Nonunion of the Carpal Navicular: Modes of Treatment

Author Affiliations

From the University of Iowa, Iowa City (Dr. Sprague), and the Campbell Clinic, Memphis (Dr. Justis).

Arch Surg. 1974;108(5):692-697. doi:10.1001/archsurg.1974.01350290056009

The indications and methods of treatment for nonunion of the carpal navicular remain varied and controversial. Ninety-eight patients were seen because of symptoms due to a persistent nonunion. Of these, only 27 were sufficiently disabled to require reconstructive surgery: 13 with nonunion of waist fractures and mild radiocarpal degenerative changes underwent bone grafting and radial styloidectomy (ten had good results); seven with nonunion of the proximal third fractures and minimal degenerative changes were treated by bone grafting or excision of the fragment (depending on vascular status) and radial styloidectomy (four had good results, one poor); three with stable fibrous unions but having symptoms due to generative changes were successfully relieved by radial styloidectomy, and four patients required wrist fusion because of severe degenerative changes and pain.