Isolated Palmar Scaphoid Dislocation: A Case Report and Review of the Literature

Scaphoid dislocations are extremely rare injuries that typically occur in association with carpal fractures or complex carpal dissociation patterns. Isolated scaphoid dislocations, particularly palmar dislocations without associated fractures, are exceptionally uncommon. Early recognition and prompt management are essential to prevent complications such as persistent carpal instability or degenerative changes. We report the case of a 47-year-old female who sustained an isolated palmar dislocation of the scaphoid following a fall onto the ulnar side of the left wrist. Initial plain radiography suggested abnormal scaphoid alignment without fracture; computed tomography confirmed an isolated palmar scaphoid dislocation. Closed reduction under locoregional anesthesia was achieved by applying palmar-to-dorsal directed pressure on the scaphoid tubercle. Percutaneous Kirschner wire (K-wire) fixation was subsequently performed to maintain reduction. Immobilization in an open scaphoid cast was maintained for six weeks. After six weeks, the K-wires were removed and the patient started physiotherapy. This case highlights the importance of recognizing this rare injury pattern and supports early reduction with temporary fixation as an effective management strategy. A brief review of the literature is provided.