Scaphoid dislocation with radial-axial carpal disruption.

Abstract

Initial

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

“…The injury pattern followed loosely Richards's, 31 Leung's, 20 and Garcia-Elias's 48,53 primary complex axial-radial scaphoid dislocation with axial carpal instability. The injury involved a disruption of the distal carpus at the capitohamate joint and then extended proximally with disruption of the radioscaphocapitate, scapholunate, and long radiolunate ligaments allowing the proximal scaphoid dislocation.…”

“…Axial carpal injuries 31,48,49 involve typically massive soft tissue trauma to the hand and present often as open injuries. The combination of an isolated scaphoid dislocation and axial carpal dissociation is exceedingly rare.…”

“…We found only 11 cases reported. 5,9,15,16,26,29,31,37,40,42,46 Only 6 of those cases are in the English-language literature. 5,9,16,31,37,42 The non-English literature has described and discussed the injury pattern; however, the English literature is limited.…”

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

“…Isolated scaphoid dislocations were initially divided into simple or complex based on distal carpal row integrity [8]. More recently, Leung et al further divided the classification of these injuries into the following: primary versus secondary, simple versus complex, partial versus total, and the direction of the dislocation [2].…”

Palmar Scaphoid Dislocation Associated With Dorsal Perilunate Dislocation: Case Report

“…[11][12][13][14][15][16][17][18][19][21][22][23][24][25][26][27][28] However, several authors emphasized additional ligament repair to encourage rapid revascularization of the scaphoid. 9,12,15,16,22-25 Therefore, we repaired the radioscaphocapitate ligament and the wrist joint capsular ligament.…”