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Unusual Complete Isolated Scaphoid Dislocation, Report of a Case
Efstathios G Ballas1, Konstantinos Raptis1, Ioannis P Stathopoulos1
1Department of Upper Limb and Hand Surgery and Microsurgery, KAT Hospital, Athens, Greece.
The Archives of Bone and Joint Surgery
|December 12, 2017
Summary
Isolated scaphoid dislocations are rare hand injuries often needing surgical repair. This case highlights successful open reduction and pinning with ligament reconstruction for this uncommon injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Isolated scaphoid dislocations are exceptionally rare wrist injuries.
- These injuries frequently involve substantial ligamentous damage.
- A common mechanism involves a dorsiflexion-supination force applied to the hand.
Observation:
- This report details a specific case of isolated scaphoid dislocation.
- The injury presented a significant challenge due to its rarity and associated ligamentous disruption.
Findings:
- The case was successfully managed using open reduction and internal fixation (pinning).
- Ligamentous reconstruction was performed concurrently to address associated disruptions.
- This combined surgical approach proved effective for this rare injury.
Implications:
- This case contributes to the understanding of managing rare scaphoid dislocations.
- It underscores the effectiveness of surgical intervention, including ligamentous reconstruction, for complex cases.
- The findings may inform treatment strategies for similar rare traumatic wrist injuries.
