Unlabelled: Isolated dislocations of the carpal scaphoid are extremely rare injuries, often associated with significant ligamentous disruptions. Consequently, treatment strategies can be conflicting and varied, ranging from closed reduction and percutaneous fixation to open reduction with internal fixation and/or ligamentous reconstruction.Typically caused by high-energy trauma, these injuries frequently present alongside associated carpal fractures. As a result, only a few cases of isolated scaphoid dislocations have been reported in the literature.We present the case of a 30-year-old male with an isolated scaphoid dislocation managed with open reduction, internal Kirschner wire fixation, and ligamentous repair. At the two-year follow-up, the patient had successfully returned to work and resumed all desired activities.Early diagnosis and appropriate management are critical to improving the prognosis of isolated scaphoid dislocations.
Level Of Evidence: Level VI.
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http://dx.doi.org/10.1016/j.tcr.2025.101141 | DOI Listing |
Trauma Case Rep
April 2025
Service de traumatologie-orthopédie, hôpital IBN TOFAIL de Marrakech, CHU Mohamed VI, faculté de médecine et de pharmacie de Marrakech, université Cadi Ayyad de Marrakech, Morocco.
Unlabelled: Isolated dislocations of the carpal scaphoid are extremely rare injuries, often associated with significant ligamentous disruptions. Consequently, treatment strategies can be conflicting and varied, ranging from closed reduction and percutaneous fixation to open reduction with internal fixation and/or ligamentous reconstruction.Typically caused by high-energy trauma, these injuries frequently present alongside associated carpal fractures.
View Article and Find Full Text PDFTrauma Case Rep
February 2025
Department of Orthopedics, PGIMER, Chandigarh, India.
Case: We present a case of 20-year-old male with an isolated scaphoid dislocation and scapholunate ligament injury of the wrist, diagnosed and repaired in an acute setting with k wires and suture anchor augmentation. At 1 year follow up patient complained of no pain and returned to work without any limitations, with no signs of avascular necrosis of the scaphoid on imaging.
Conclusion: In acute trauma injuries involving multiple joints, these subtle injuries are often missed, which ultimately leads to degenerative changes.
Tech Hand Up Extrem Surg
March 2025
Hand and Microsurgery Unit, Jewish Hospital of Rome.
A die punch fracture is an intra-articular fracture of the distal radius characterized by a localized depression of the articular surface, typically occurring in the lunate fossa. Misdiagnosis or incorrect management can lead to articular malunion. While die punch fractures in the scaphoid fossa are less common, their nascent malunions pose significant treatment challenges.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
January 2025
Institut de la main Nantes-Atlantique, Saint-Herblain, France.
Osteoarthritis of the scaphotrapeziotrapezoidal joint is frequent but often pain-free or well tolerated with non-surgical treatment. Surgical options are numerous and none seems to have clear evidence of superiority. In addition to well-established procedures, such as scaphotrapeziotrapezoidal joint arthrodesis, distal scaphoid resection and trapeziectomy, more recent surgical techniques have been reported.
View Article and Find Full Text PDFHand (N Y)
September 2024
Thomas Jefferson University, Philadelphia, PA, USA.
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