Isolated Scaphoid Dislocation From Low-Energy Wrist Trauma.

Area of Science:

• Orthopedics
• Traumatology
• Hand Surgery

Background:

• Isolated scaphoid dislocation is exceptionally rare, usually resulting from high-energy trauma.
• Marfan Syndrome is a genetic disorder that can affect connective tissues, potentially predisposing individuals to joint instability.

Observation:

• A case of non-traumatic isolated scaphoid dislocation in a young man with a possible Marfan Syndrome history is presented.
• The injury occurred during a power-grip activity (carrying a table), not typical high-energy trauma.
• Radiographic imaging confirmed radial dislocation of the scaphoid bone.

Findings:

• Successful bedside closed reduction of the dislocated scaphoid was performed.
• Outpatient ligament reconstruction was completed, leading to a full recovery.
• The patient returned to normal activities within six months post-treatment.

Implications:

• This case highlights that isolated scaphoid dislocation can arise from non-traumatic mechanisms, even in the absence of a confirmed diagnosis of connective tissue disorders.
• Early diagnosis and appropriate management, including reduction and surgical repair, are crucial for favorable outcomes in isolated scaphoid dislocations.
• Treatment strategies should be tailored to the individual case, encompassing closed reduction, fixation, and ligamentous reconstruction.