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Missed isolated volar dislocation of the scaphoid
Lise Kolby1, Søren Larsen, Stig Jørring
1Section for Hand Surgery, Department of Orthopaedics, Odense University Hospital, Odense, Denmark. kolbylise@hotmail.com
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|September 22, 2007
Summary
Delayed diagnosis of volar scaphoid dislocation requires surgical intervention. Open reduction and internal fixation led to good functional outcomes and no avascular necrosis one year post-surgery.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Scaphoid fractures and dislocations are common wrist injuries.
- Delayed diagnosis can lead to complications such as nonunion and avascular necrosis.
- Volar dislocations of the scaphoid are rare and can be challenging to diagnose.
Observation:
- A patient presented with a missed diagnosis of volar scaphoid dislocation after two weeks.
- The patient underwent open reduction via a combined volar and dorsal approach.
- Median nerve decompression, internal fixation, and casting were performed.
Findings:
- One year postoperatively, the patient achieved good functional results.
- Radiographs showed no evidence of avascular necrosis.
- Successful management of delayed-presenting volar scaphoid dislocation was demonstrated.
Implications:
- Early diagnosis and treatment are crucial for optimal outcomes in scaphoid injuries.
- Surgical intervention can restore function even in cases of delayed diagnosis.
- This case highlights the importance of considering rare injuries in wrist trauma evaluations.
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