Peri-Trapezium Peri-Trapezoid Trans-scaphoid Open Fracture Dislocation of the Carpus: A Case Report

Area of Science:

• Orthopedic Surgery
• Traumatology
• Hand Surgery

Background:

• Axial fracture dislocations of carpal bones represent a complex and poorly understood category of hand injuries.
• These injuries frequently involve associated nerve damage, soft tissue compromise, and, in severe cases, amputation.
• Current optimal treatment strategies for these dislocations remain undefined.

Observation:

• A rare case of an open trans-scaphoid axial fracture dislocation of the carpus is presented.
• The injury mechanism in this specific case was unique.
• The patient underwent prompt surgical intervention, including irrigation, debridement, and reduction and fixation of the carpal fracture dislocation.

Findings:

• Open trans-scaphoid axial fracture dislocation of the carpus is a rare injury.
• Despite timely and appropriate treatment, such injuries are associated with a tendency towards poor clinical outcomes.
• The complexity of these injuries necessitates careful patient management.

Implications:

• Understanding the potential for poor outcomes is crucial for managing patients with axial carpal fracture dislocations.
• Effective communication and setting realistic expectations with patients are paramount.
• Further research into optimal treatment protocols for these severe carpal injuries is warranted.