International Journal of Case Reports in Orthopaedics
2022, Vol. 4, Issue 2, Part B
Scaphocapitate fracture - dislocation
Author(s): Nuno Malheiro, Daniel Gonçalves, Elsa Moreira, Ricardo Branco, Romulo Silva, Filomena Ferreira and Cristina Varino
Abstract: Case: A 22-year-old man presented with a scaphocapitate fracture-dislocation with the proximal fragment of the capitate in 180° rotation and a proximal pole volar scaphoid fracture. He was treated with open reduction and internal fixation using a dorsal approach, with reduction of dislocation and osteosynthesis of the capitate using a Herbert screw and three K-wires. Postoperative immobilisation was performed using an antebrachial palmar splint for 8 weeks. The modified Mayo wrist score was 100 6 months postoperatively. Radiologically, complete consolidation without intracarpal misalignment was observed.Conclusion: Open reduction with internal fixation is an option for preventing complications in scaphocapitate fracture-dislocations.
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