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FRACTURE OF TARSAL SCAPHOID With Notes on the Mechanism
EDWIN P. LEHMAN; I. H. ESKELES
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The Department of Surgery, Washington University School of Medicine
The Journal of Bone & Joint Surgery.  1928; 10:108-113 
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Abstract

(1) A case is presented of fracture of the tarsal scaphoid from indirect violence with excellent functional result.

(2) A study of the tarsus suggests that fracture of the scaphoid from indirect violence is not probable without ligamentous tear.

(3) A possible mechanism of fracture is presented as follows: (a) Forced flexion of the foot with resulting tear of the dorsal scaphoidocuneiform ligament. (b) Transmission of force in the axis of the foot driving the scaphoid against the upturned sharp inferior proximal angle of the middle cuneiform.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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