Scapholunate Dissociation with Ulnar Impaction: A Case with Review of Literature

Scapholunate dissociation and ulnar impaction syndrome are common causes of wrist pain but often missed on initial clinical and radiological evaluation; hence, diagnosis is delayed. Management is challenging as there is diversity in surgical option. There is not a single case in literature described for both scapholunate dissociation and ulnar impaction syndrome treated in one setting. We are presenting a case of both ulnar impaction syndrome and scapholunate dissociation treated surgically in one setting with good functional outcome.

A 30-year-old male with chronic scapholunate dissociation and ulnar impaction syndrome treated with modified Brunelli technique for scapholunate dissociation and extra-articular ulnar shortening osteotomy for ulnar impaction syndrome in one setting with good functional outcome.

In cases with scapholunate dissociation and ulnar impaction syndrome, treatment should be directed toward both. When done with careful pre-operative evaluation and planning in one setting, can yield favorable results.