Dislocation of the carpal scaphoid: An 8-year follow-up

“…It appears that undisturbed intraosseous channels within the scaphoid bone allow for rapid revascularization from the surrounding soft tissue. Other possible complications include posttraumatic arthritis and carpal instability [10]. These are thought to be more closely related to neglected cases, those in which there was a delay in treatment.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of an Isolated Dislocation of the Scaphoid in a Lesser Arc Injury and a Review of the Literature

Sefcik

Andrews

Stirton

et al. 2018

Case Reports in Orthopedics

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Isolated dislocations of the scaphoid are extremely uncommon injuries and are often associated with significant ligamentous failures. Since scaphoid dislocations typically present with associated carpal fractures, few cases of isolated dislocations of the scaphoid exist in the literature. The proposed treatment options in the literature range from closed reduction and casting to open reduction and internal fixation. We present the case of a 41-year-old male with an isolated scaphoid dislocation in whom open reduction and internal fixation was performed with K-wires. At five months follow-up, the patient had returned to work and all desired activities.

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“…The exact mechanism of scaphoid dislocation has yet to be established, but it is generally believed to involved dorsiflexion and ulnar deviation with or without rotational forces 12. There are several treatment options for scaphoid dislocation: Closed reduction and immobilization with a cast,34 closed reduction and percutaneous pinning,56 open reduction and pinning7 and open reduction and pinning followed by ligament repair 189. These treatment modalities are comparable in terms of long term clinical outcomes and share a relatively favorable prognosis.…”

Section: Discussionmentioning

confidence: 99%

Neglected isolated scaphoid dislocation

Jong-Ryoon

Cho

Lee

et al. 2016

IJOO

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The authors present a case of isolated scaphoid dislocation in a 40-year-old male that was undiagnosed for 2 months. The patient was treated by open reduction, Kirschner wire fixation, interosseous ligament repair using a suture anchor and Blatt's dorsal capsulodesis. At 6 years followup, his radiographs of wrist showed a normal carpal alignment with a scapholunate gap of 3 mm and no evidence of avascular necrosis (AVN) of the scaphoid.

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Dislocation of the carpal scaphoid: An 8-year follow-up

Cited by 19 publications

References 6 publications

Scaphoid dislocation with radial-axial carpal disruption.

Scaphoid dislocation with radial-axial carpal disruption.

A Case Report of an Isolated Dislocation of the Scaphoid in a Lesser Arc Injury and a Review of the Literature

Neglected isolated scaphoid dislocation

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