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Neglected dorsal dislocation of the scaphoid
Rajkumar S Amaravati1, Mj Saji, Hp Rajagopal
1Department of Orthopedics, St. John's Medical College Hospital, Bangalore - 560 034, India.
Indian Journal of Orthopaedics
|October 20, 2009
Summary
This case report details a rare neglected dorsal scaphoid dislocation in an industrial worker. Surgical treatment involving proximal row carpectomy and capsular interposition resulted in good wrist function.
Area of Science:
- Orthopedic Surgery
- Hand and Wrist Surgery
- Traumatology
Background:
- Isolated scaphoid dislocation is an exceptionally rare wrist injury.
- Neglected dislocations present unique management challenges due to delayed presentation.
Purpose of the Study:
- To report a rare case of neglected dorsal scaphoid dislocation.
- To discuss management options for this uncommon injury.
Main Methods:
- A 45-year-old male with a neglected dorsal scaphoid dislocation underwent proximal row carpectomy with capsular interposition.
- Kirschner wires were used for distal carpal stabilization on the radius.
Main Results:
- The patient achieved good wrist function 12 months post-surgery.
- The patient reported satisfaction with the treatment outcome.
Conclusions:
- Proximal row carpectomy with capsular interposition is a viable surgical option for neglected dorsal scaphoid dislocations.
- Early diagnosis and appropriate management are crucial for favorable outcomes in scaphoid dislocations.
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