chapter  14
12 Pages

Percutaneous and Arthroscopic Management of Scaphoid Nonunions

Wrist arthroscopy has revolutionized the practice of orthope-

dics by providing the technical capability to examine and treat

intra-articular abnormalities of the wrist joint (1). Wrist arthro-

scopy allows for direct visualization and palpation of cartilage

surfaces, synovial tissue, and the interosseous ligaments

under bright light and magnified conditions. The scaphoid is

well visualized from both the radiocarpal and midcarpal

spaces. Fractures of the scaphoid are best visualized with the

arthroscope in the midcarpal space (Fig. 1). This allows for

arthroscopic assisted fixation of fractures of the scaphoid and

nonunions under direct visualization.