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FURTHER OBSERVATIONS ON TREATMENT OF FRACTURE OF THE CARPAL SCAPHOID (NAVICULAR)
JOSEPH H. BURNETT
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The Bone and Joint Service of the Boston City Hospital
1937 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1937; 19:1099-1109 
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Abstract

In summarizing, we wish to stress the following points:

1. In all suspicious cases, and in checking the end results for union, the oblique view is most important. [SEE FIG. 10-A, 10-B IN SOURCE PDF]

2. The final result as shown by the roentgenogram varies between no union, a possible fibrous union, and bony union.

3. The end result should be evaluated by the clinical findings and not by the roentgenograms.

4. The results obtained both by the bone-graft and the bone-peg operations clearly prove that it is no longer necessary to remove the scaphoid.

5. The bone-peg operation, which is much easier to perform, leaves the anatomy undisturbed, the wrist strong and free from disability other than some limitation of dorsal flexion, and the patient satisfied.

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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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