Some Clinical Experience of Fractures of the Carpal Navicular

Abstract

We have experienced 15 cases of fractures of the carpal navicular during past 10 years. 9 cases of them were followed up for 4 months to 40 months. 7 cases of 9 were diagnosed as fractures of the carpal navicular within 1 month after the accident. Bony fusion was obtained in 5 cases which were treated conservatively by plaster fixation for 4 weeks to 2 months. Surgical therapy was employed in 4 cases; one with excision of the proximal row of carpal bones, one with excision of the proximal fragment of the carpal navicular and lunate bone and two with bone-grafting. One of two bone-grafting cases was not united despite of 10 weeks plaster fixation, but there is no disability in the wrist.