Isolated scaphoid dislocation: A case report and review of literature

Abstract

BACKGROUND Isolated dislocations of the scaphoid are extremely rare types of injuries, commonly associated with severe ligament disruptions, and are occasionally misdiagnosed. Treatment options for dislocations of the scaphoid mainly include closed reduction, with or without internal fixation, and open reduction with ligament repair. CASE SUMMARY A 59-year-old male worker sustained a twisting trauma of his right wrist, caused by a moving belt while he was operating a machine. When he presented at our emergency department, the patient complained of swelling, tenderness, and restriction of movement of the right wrist. Radiographs confirmed a primary complex partial radial dislocation of the scaphoid and some chip fractures of the capitate and hamate. Closed reduction with K-wire internal fixation was performed with the assistance of arthroscopy, and an excellent prognosis was achieved. CONCLUSION Arthroscopy-assisted reduction is a minimally invasive method to reduce the dislocated scaphoid and maintain the blood supply.

Open Dislocation of the Scaphoid With an Associated Hamate Fracture and Fourth Metacarpal Fracture

“… 2 When identified early, treatment options for scaphoid dislocation have been successful and include either closed or open reduction followed by cast immobilization, K-wire fixation, and/or ligamentous repair/reconstruction. 7 , 8 …”