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Bilateral traumatic scapholunate dissociation: Case report.
Anas M Alyamani1, Abdulaziz Alhujairi1, Obaid M Almishal1
1Department of Plastic Surgery, King Abdulaziz Medical City - Riyadh, P.O. Box 22490, Riyadh 11426, Saudi Arabia.
International Journal of Surgery Case Reports
|November 8, 2021
Summary
This study details a rare case of bilateral scapholunate dissociation in an elderly patient following a fall. Treatment involved ligament reconstruction, highlighting the need to prevent falls in older adults.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Geriatric Medicine
Background:
- Scapholunate dissociation (SLD) results from scapholunate interosseous ligament disruption.
- Hypotheses for SLD include trauma, congenital factors, laxity, and synovial issues.
- Elderly individuals are susceptible to falls, leading to severe injuries.
Purpose of the Study:
- To present a rare case of traumatic bilateral SLD in an elderly patient.
- To describe the surgical management of this condition.
- To emphasize fall prevention in the geriatric population.
Main Methods:
- Case report of an elderly patient with traumatic bilateral SLD.
- Surgical management using bone anchor suture and kirschner wire fixation.
- Literature review on SLD and fall-related injuries in the elderly.
Main Results:
- Successful ligament reconstruction and fixation were achieved.
- The patient's bilateral SLD was managed effectively.
- This case underscores the challenges of treating SLD in elderly patients.
Conclusions:
- Traumatic bilateral SLD is rare, especially in the elderly.
- Ligament reconstruction with bone anchors and K-wires can be effective.
- Identifying fall risk factors is crucial for preventing severe injuries in older adults.
