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Isolated Open Dislocation of the Capitate: A Case Report
Tyler Janish1, Robert Blotter2
1Michigan State University College of Human Medicine, East Lansing, Michigan.
Case:
We present a case of an isolated palmar, open dislocation of the capitate that occurred after a crush injury from an all-terrain vehicle rollover accident. The capitate was completely dislocated, rotated 90 degrees in the coronal plane with only soft-tissue attachments palmarly, and associated with a 4 cm open wound. A successful outcome was achieved via surgical reduction with percutaneous fixation. A follow-up at 44 months demonstrated good range of motion and no pain.
Conclusion:
Capitate dislocations are extremely rare. Prompt identification and surgical reduction can lead to successful outcomes.
