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Trans-scaphoid dislocation of the proximal row: a case report
Mohammed Tahir Ansari1, Prakash Kotwal, Laxman Rijal
1All India Institute of medical sciences, New Delhi, India.
The Pan African Medical Journal
|July 31, 2013
Summary
A complex trans-scaphoid wrist dislocation following trauma was treated with proximal row carpectomy and wrist arthrodesis. The procedure resulted in good functional recovery and pain relief one year post-surgery.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Wrist Biomechanics
Background:
- Complex wrist dislocations, such as trans-scaphoid proximal row carpectomy, present significant management challenges.
- Early and accurate diagnosis is crucial for optimal outcomes in wrist trauma.
Observation:
- A 32-year-old male presented with a four-week history of right wrist pain, swelling, and deformity post-road traffic accident.
- Preoperative imaging confirmed a trans-scaphoid dislocation of the proximal carpal row.
- Initial attempts at closed and open reduction via volar and dorsal approaches were unsuccessful.
Findings:
- The patient underwent proximal row carpectomy followed by wrist arthrodesis.
- One-year follow-up demonstrated a modified Mayo wrist score of 65.
- Functional recovery included 85% grip strength compared to the contralateral side.
Implications:
- Wrist arthrodesis following proximal row carpectomy can be an effective salvage procedure for irreducible complex wrist dislocations.
- This approach offers a viable option for restoring function and alleviating pain in severe wrist injuries.
- Further research into optimizing surgical techniques for complex wrist dislocations is warranted.
