The Onset, Progress and Factors Influencing Degenerative Arthritis of the Wrist Following Scaphoid Fracture Non-Union 

Description

This VTT transcript captures a presentation by Amin Kheiran on a study investigating the natural history of scaphoid fracture non-union, designed and led by Professor Dias. Kheiran begins by introducing himself and outlining the significance of the findings related to the progression of scaphoid fractures and subsequent development of arthritis (known as SNAC). He presents data indicating that 100% of individuals with SNAC can develop arthritis within five years, as well as the predictive patterns of arthritis according to fracture locations. The study analyzed 278 symptomatic cases to determine the rates of SNAC severity and its impacts on health-related quality of life using various patient evaluation metrics.



Kheiran provides detailed findings, including that 44% of patients did not experience any arthritis within the first 1.3 years while SNAC 1 and SNAC 2 developed in one-third of the group within 2.6 years. Data reveals that arthritis onset is often rapid, particularly within the first year, suggesting early intervention is crucial. Kheiran emphasizes the importance of understanding each individual's pattern of arthritic progression based on their fracture location to inform treatment decisions.



The session concludes with a dialogue between Kheiran and Donald Campbell, a children's orthopedic surgeon, who queries the applicability of this research in practical scenarios, highlighting that many cases he encounters present with advanced arthritis. Kheiran responds by noting that patient presentation varies widely and that future research may refine intervention strategies based on developing patterns of arthritis following scaphoid non-union.

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