Pisiform area pain treatment by pisiform excision.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 7. Hand Clin. 2019 Aug;35(3):353-363. doi: 10.1016/j.hcl.2019.03.012. Volar Radius Vascularized Bone Flaps for the Treatment of Scaphoid Nonunion. Elzinga K(1), Chung KC(2). Author information: (1)Section of Plastic Surgery, University of Calgary, Foothills Medical Centre, Room 382, 1403 - 29 Street Northwest, Calgary, Alberta T2N 2T9, Canada. Electronic address: kate.elzinga@ahs.ca. (2)Section of Plastic Surgery, The University of Michigan Medical School, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-0340, USA. Vascularized bone flaps (VBFs) improve union rates for scaphoid nonunions compared with nonvascularized grafts. Volar VBFs are indicated in cases of scaphoid nonunion with avascular necrosis and/or humpback deformity. Four volar VBFs are described in this article. The volar carpal artery and pronator quadratus VBFs are most commonly used. The pisiform VBF can be used for replacement of the proximal pole of the scaphoid; it is covered by articular cartilage. The ulna VBF has greater donor morbidity; the ulnar artery is harvested and a palpable donor site deformity results. Copyright © 2019 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2019.03.012