Isolated Capitate Fracture with Dorsal Dislocation of Proximal Pole: A Case Report

Sabat, Dhananjaya; Arora, Sumit; Dhal, Anil

doi:10.1007/s11552-011-9337-5

Cited by 16 publications

(5 citation statements)

References 11 publications

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“…The treatment options include surgical and non-surgical treatments. Open reduction and internal fixation with Kirschner wires or headless cannulated compression screws in displaced fractures and fracture dislocations have been reported[ 2 , 5 , 9 , 10 ]. For rigid fixation, stability and early rehabilitation, we used a locking plate to fix the unique fracture pattern, and the fracture was healed at the final follow-up.…”

Section: Discussionmentioning

confidence: 99%

Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report

Lai¹,

Fang²,

Chang³

et al. 2023

World J Clin Cases

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BACKGROUND Isolated capitate fractures are rare carpal fractures. Following high-energy injuries, capitate fractures are usually associated with other carpal fractures or ligament injuries. The management of capitate fractures depends on the fracture pattern. Here, we report an unusual capitate fracture with a dorsal shearing pattern and concomitant carpometacarpal dislocation, with a 6-year follow-up. To the best of our knowledge, this fracture pattern and surgical management have not been previously reported. CASE SUMMARY A 28-year-old man presented with left-hand volar tenderness and decreased grip strength that persisted for one month after a traffic accident. Radiography showed a distal capitate fracture with carpometacarpal joint incongruence. Computed tomography (CT) revealed a distal capitate fracture with carpometacarpal joint dislocation. The distal fragment was rotated by 90° in the sagittal plane, and an oblique shearing fracture pattern was noted. Open reduction and internal fixation (ORIF) with a locking plate were performed using the dorsal approach. The imaging studies performed 3 mo and 6 years following surgery revealed a healed fracture, and the Disabilities of the Arm, Shoulder, and Hand and visual analog scale scores were significantly improved. CONCLUSION CT can detect capitate fractures with dorsal shearing pattern and concomitant carpometacarpal dislocation. ORIF using a locking plate are possible.

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Section: Discussionmentioning

confidence: 99%

Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report

Lai¹,

Fang²,

Chang³

et al. 2023

World J Clin Cases

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“…The absence of the capitate head may be due to a fracture, with either subsequent death and resorption (avascular necrosis) of the proximal fragment or postmortem loss. Fractures of the capitate alone are generally very rare and appear only in 1-2% of cases of carpal fracture (Rand et al, 1982;Sabat et al, 2011), due to protection by surrounding bones and its cuboidal shape (Fenton, 1956;Sabat et al, 2011;Yoshihara et al, 2002). It is more common in association with other carpal fractures (Goliver et al, 2014;Rand et al, 1982;Thomsen, 2012).…”

Section: Discussionmentioning

confidence: 99%

Differential diagnosis of a fused wrist with a partially destroyed capitate from Kazakhstan (1st–3rd century AD)

Schwarz

Gresky

2016

International Journal of Paleopathology

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“…The headless compression screw has advantage over the K-wire because it provides compression across the fracture site and allows early wrist exercise [22]. …”

Section: Discussionmentioning

confidence: 99%

“…Displaced fracture of the capitate requires anatomic repositioning and internal fixation with headless cannulated compression screws or K-wires [ 21 ]. The headless compression screw has advantage over the K-wire because it provides compression across the fracture site and allows early wrist exercise [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Nonunion of capitate due to late diagnosis in a teenager

et al. 2014

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Patient: Male, 13Final Diagnosis: Isolated capitate bone fractureSymptoms: —Medication: —Clinical Procedure: —Specialty: —Objective:Unusual clinical courseBackground:Carpal fractures often appear in men under the age of 40 years. Isolated fracture of the capitate without dislocation is very rare and comprises 1% of all carpal fractures. Nonunion of capitate mostly resulted from delay in diagnosis and lack of initial treatment.Case Report:We reported the case of a 13-year-old boy who had a late-diagnosed capitate fracture. We put the wrist in a short-arm cast for 3 months. After the immobilization with the cast has been finalized, range of motion and strengthening exercises were started. One year after the trauma, we saw total union of the fracture.Conclusions:Diagnosis of carpal bone fracture may be missed, especially in skeletally immature patients. To prevent late diagnosis in skeletally immature patients, early control radiography should be taken. If further examination is needed, computed tomography should be performed. We can achieve good results with cast immobilization in this age group of patients. As a result, although the author has been advised surgical treatment for nonunion of capitate fracture, conservative treatment should be considered.

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Isolated Capitate Fracture with Dorsal Dislocation of Proximal Pole: A Case Report

Cited by 16 publications

References 11 publications

Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report

Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report

Differential diagnosis of a fused wrist with a partially destroyed capitate from Kazakhstan (1st–3rd century AD)

Nonunion of capitate due to late diagnosis in a teenager

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