Isolated scaphoid dislocation associated with axial carpal dissociation: An unusual injury report

Perilunate and Axial Carpal Dislocations and Fracture–Dislocations

“…22 The injury pattern may extend to the proximal carpal row, and axial carpal dislocations with scaphoid dislocations have been recently described. 7,20,23,24 The path of the injury is usually easy to recognize on standard x-rays, thus allowing surgical planning. In some atypical cases, the path may not be obvious, and traction x-rays and/or advanced imaging studies may be necessary.…”

“…In some atypical cases, the path may not be obvious, and traction x-rays and/or advanced imaging studies may be necessary. 7 The severity of the trauma results in marked hand and wrist swelling, and the diagnosis of compartment syndrome should be considered. Unlike PLDPLFDs, ACD-ACFDs are rarely missed because of the considerable swelling and soft tissue damage.…”

“…Actual repair of the intercarpal ligaments of the distal row and intermetacarpal ligaments is not necessary, provided that anatomic reduction is obtained. However, if the injury extends into the proximal row (as in a combined ACD with dislocation of the scaphoid), 7,23 repair of the scapholunate interosseous ligament complex is necessary. 7 Outcomes following an open ACD-ACFD depend more on the associated soft tissue injury rather than on the osseous injury.…”

“…However, if the injury extends into the proximal row (as in a combined ACD with dislocation of the scaphoid), 7,23 repair of the scapholunate interosseous ligament complex is necessary. 7 Outcomes following an open ACD-ACFD depend more on the associated soft tissue injury rather than on the osseous injury. 26 In a series of 12 ACD-ACFDs, there were 5 good, 4 fair, and 3 poor results.…”

Total Scapholunate Dislocation With Complete Scaphoid Extrusion: Case Report

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] We have found only 17 reported cases in the literature that involve simultaneous dislocation of the scaphoid and lunate. 5,6,8,9,[12][13][14] In 11 of these cases, the 2 carpal bones dislocate as a unit.…”