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Total scapholunate dislocation with complete scaphoid extrusion: case report.

Leahthan F Domeshek1, Patrick S Harenberg, Craig A Rineer

  • 1Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.

The Journal of Hand Surgery
|December 8, 2009
PubMed
Summary

This case report details a rare simultaneous complete dislocation of the lunate and scaphoid bones after a fall. Treatment involved a proximal row carpectomy for this unique wrist injury.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Hand and Wrist Surgery

Background:

  • Wrist injuries, including carpal dislocations, can result from significant trauma.
  • Simultaneous dislocation of the lunate and scaphoid is exceptionally rare, with limited documented cases.

Observation:

  • A patient sustained a fall resulting in complete dislocation of both the lunate and scaphoid bones.
  • The scaphoid bone was observed to be completely extruded from the wrist joint at the time of initial assessment.

Findings:

  • This represents a unique case of simultaneous complete lunate and scaphoid dislocation.
  • The patient underwent a proximal row carpectomy as the chosen surgical intervention.

Implications:

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  • This case highlights the potential severity of wrist trauma and the spectrum of carpal dislocations.
  • Understanding such rare injuries is crucial for accurate diagnosis and effective treatment planning in orthopedic traumatology.
  • Proximal row carpectomy may be a viable option for managing complex carpal dislocations.