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Acute scaphoid fracture with scapholunate gap
M I Vender1, H K Watson, D M Black
1Connecticut Combined Hand Service, Hartford Hospital.
The Journal of Hand Surgery
|November 1, 1989
Summary
Wrist trauma can cause scaphoid fractures and scapholunate joint disruption simultaneously. Treatment involves surgical repair for acute injuries and bone grafting with joint fusion for chronic cases.
Area of Science:
- Orthopedic surgery
- Hand and wrist anatomy
- Traumatic injuries
Background:
- Wrist trauma can lead to bone fractures or ligament disruptions.
- The scaphoid bone and scapholunate joint are critical for wrist stability.
Observation:
- Two cases presented with simultaneous acute scaphoid fracture and scapholunate gap.
- This highlights a complex injury pattern resulting from wrist trauma.
Findings:
- Acute injuries require open reduction and internal fixation of the scaphoid fracture, plus stabilization of the scapholunate joint.
- Chronic injuries necessitate open reduction, internal fixation with bone grafting for scaphoid nonunion, and fusion of the scaphoid-trapezium-trapezoid joint.
Implications:
- Understanding this dual injury pattern is crucial for effective orthopedic management.
- Appropriate surgical interventions can restore wrist function and stability.
- Further research may elucidate the biomechanics of this combined injury.