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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
PubMed
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.

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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.
Keywords:
BilateralCase reportDissociationScapholunate

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  • 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.