Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates

J Hand Surg Am. 2022 Mar;47(3):293.e1-293.e8. doi: 10.1016/j.jhsa.2021.01.010. Epub 2021 Mar 20.

Abstract

Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the long-ring metacarpal relationship. Both of these patients underwent reduction and fixation using a wrist spanning plate, which was removed approximately 2 months after injury. Follow-up of these patients demonstrated maintenance of reduction, axial stability, and return of painless range of motion.

Keywords: Dorsal spanning wrist plate; longitudinal instability; scaphoid dislocation.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Joint Dislocations* / diagnostic imaging
  • Joint Dislocations* / surgery
  • Range of Motion, Articular
  • Scaphoid Bone* / diagnostic imaging
  • Scaphoid Bone* / injuries
  • Scaphoid Bone* / surgery
  • Wrist
  • Wrist Injuries* / complications
  • Wrist Injuries* / diagnostic imaging
  • Wrist Injuries* / surgery
  • Wrist Joint / diagnostic imaging
  • Wrist Joint / surgery