Internal vascularity of the scaphoid in cadavers after insertion of the Herbert screw

Michael J. Botte, Wayne W. Mortensen, Richard H. Gelberman, Charles E. Rhoades, Harris Gellman

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

This article describes the effects of various operative exposures for insertion of the Herbert screw on the internal vascularity of the scaphoid. Vessels supplying the proximal 70% to 80% of the scaphoid were intact in all specimens except one, which had a combined palmar and dorsal approach. Vessels supplying the tubercle and the distal 20%–30% were disrupted in five of 18 specimens undergoing the palmar approach. The palmar approach did not disrupt the significant dorsal blood supply, and the dorsal approach was safe provided care was taken to preserve the visible dorsal vascular leash.

Original languageEnglish
Pages (from-to)216-220
Number of pages5
JournalJournal of Hand Surgery
Volume13
Issue number2
DOIs
StatePublished - Jan 1 1988

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