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[Dorsal trapezoid-scaphoid luxation. A case report]
H J Tawil1, I Semaan, F Lignac
1Service de Chirurgie Orthopédique et Traumatologique, Hôpital de Longjumeau.
Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1993
Summary
Dorsal trapezoscaphoid dislocations involve wrist bone displacement. Early orthopedic reduction and fixation led to excellent long-term wrist function and stability.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Anatomy
Background:
- Dorsal trapezoscaphoid dislocations are rare wrist injuries.
- Characterized by posterolateral displacement of the trapezium and first metacarpal.
- Literature review reveals limited documented cases.
Observation:
- A new case of dorsal trapezoscaphoid dislocation due to violent trauma is presented.
- Initial orthopedic reduction was successful.
- Significant instability necessitated surgical intervention.
Findings:
- Double pinning to adjacent bones was performed for stabilization.
- Plaster immobilization was maintained for six weeks post-procedure.
- Excellent functional and radiological outcomes were achieved.
Implications:
- This case highlights a viable treatment strategy for rare dorsal trapezoscaphoid dislocations.
- Surgical fixation and immobilization can restore wrist function and stability.
- Long-term stability (2-year follow-up) suggests favorable prognosis with this approach.