Herbert-Schraube
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/4/8/5/7/8/Scaphoid-Pseudarthrose1_thumb.jpg)
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/1/3/6/9/1/0/Scaphoidfraktur_1_postoperativ_thumb.jpg)
Röntgenbild
einer Kahnbeinfraktur eines 20jährigen Patienten. Operative Versorgung mit einer Boldschraube.
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/1/3/6/9/1/1/Scaphoidfraktur_2_postoperativ_thumb.jpg)
Röntgenbild
einer Kahnbeinfraktur eines 20jährigen Patienten. Operative versorgung mit einer Boldschraube.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/3/6/9/1/3/12880_2017_187_Fig1_HTML_thumb.jpg)
Biodegradable
magnesium Herbert screw – image quality and artifacts with radiography, CT and MRI. Mg-screw (top) and Ti-screw (bottom) in FPCT. The screw axis aligns to the z-axis of the scanner (0° position)
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/3/6/9/1/4/12880_2017_187_Fig4_HTML_thumb.jpg)
Biodegradable
magnesium Herbert screw – image quality and artifacts with radiography, CT and MRI. Mg-screw (top) and Ti-screw (bottom) in MDCT in the 0° and 90° degree positions
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/3/6/9/1/5/12880_2017_187_Fig5_HTML_thumb.jpg)
Biodegradable
magnesium Herbert screw – image quality and artifacts with radiography, CT and MRI. Mg-screw (top) and Ti-screw (bottom) in FPCT in the 0° and 90° degree positions
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/1/3/6/9/1/2/Scaphoidfraktur_mit_Herbert-Schraube_thumb.jpg)
Fraktur mit
schematisierter Herbert- Schraube - aus Bild:Scaphoidfraktur 1 pfeil.jpg auf commons erstellt
A Herbert screw is an instrument used in the internal fixation of an unstable scaphoid fracture. It is a headless screw with the thread along its entire length. The two halves of the screw have a different pitch though, which causes compression of the fracture.
Indications
Unstable scaphoid fractures which include:
- displacement >1 mm
- scapholunate angle >60
- radiolunate angle >15
- delayed/non-union
Disadvantages
- ineffective in long standing non-united scaphoid fractures
Siehe auch:
![Click für weniger anzeigen](/sites/all/modules/pacs/tools/imgs/collapse_up.png)
![](/sites/all/modules/pacs/tools/imgs/Iris_color_40.png)