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Scapho-capitate syndrome: distant fragment migration
Acta Orthopaedica Belgica
|January 1, 1995
Summary
This case report details scapho-capitate syndrome with unusual capitate head migration. Surgical retrieval and fixation restored wrist stability and function.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Scapho-capitate syndrome is a rare wrist injury involving fractures of the scaphoid and capitate bones.
- Distant migration of the capitate head is an exceptionally uncommon complication.
Observation:
- A case of scapho-capitate syndrome presented with the capitate head migrating proximally to the transverse carpal ligament.
- The median nerve was displaced and tented over the migrated capitate head.
Findings:
- The migrated capitate head was successfully retrieved and repositioned.
- Surgical fixation of both the scaphoid and capitate fractures restored wrist stability.
Implications:
- This case highlights a previously undescribed presentation of capitate head migration in scapho-capitate syndrome.
- Successful surgical management can lead to excellent functional recovery in such rare injuries.