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Neglected isolated scaphoid dislocation.
Jong-Ryoon Baek1, Seung Hyun Cho1, Yong Seuk Lee1
1Department of Orthopaedic Surgery, Gil Medical Center, Gachon University School of Medicine, Gil Hospital, 1198 Guwol-dong, Namdong-gu, Incheon, 405-760, Korea.
Indian Journal of Orthopaedics
|December 2, 2016
Summary
This case study details the successful surgical treatment of a delayed isolated scaphoid dislocation. Long-term follow-up confirmed normal wrist alignment and no scaphoid avascular necrosis (AVN).
Area of Science:
- Orthopedic Surgery
- Hand and Wrist Surgery
- Trauma Surgery
Background:
- Isolated scaphoid dislocation is a rare wrist injury.
- Delayed diagnosis can complicate treatment and outcomes.
- Scaphoid AVN is a potential long-term complication.
Purpose of the Study:
- To report a case of isolated scaphoid dislocation diagnosed late.
- To describe the surgical technique used for treatment.
- To evaluate the long-term radiographic outcomes.
Main Methods:
- Open reduction and internal fixation with Kirschner wires.
- Interosseous ligament repair utilizing a suture anchor.
- Blatt's dorsal capsulodesis for wrist stabilization.
Main Results:
- Successful restoration of normal carpal alignment.
- Scapholunate gap measured at 3 mm at 6-year follow-up.
- No radiographic evidence of scaphoid avascular necrosis (AVN).
Conclusions:
- Surgical intervention can achieve favorable long-term outcomes for delayed isolated scaphoid dislocations.
- The described surgical techniques provide stable fixation and ligamentous repair.
- Preservation of scaphoid vascularity is achievable with timely and appropriate management.
