Scapholunate Dissociation with Ulnar Impaction: A Case with Review of Literature

Introduction: Scapholunate dissociation and ulnar impaction syndrome are common causes of wrist pain but often missed on initial clinical and radiological evaluation; hence, diagnosis is delayed. Management is challenging as there is diversity in surgical option. There is not a single case in literature described for both scapholunate dissociation and ulnar impaction syndrome treated in one setting. We are presenting a case of both ulnar impaction syndrome and scapholunate dissociation treated surgically in one setting with good functional outcome.

Case report: A 30-year-old male with chronic scapholunate dissociation and ulnar impaction syndrome treated with modified Brunelli technique for scapholunate dissociation and extra-articular ulnar shortening osteotomy for ulnar impaction syndrome in one setting with good functional outcome.

Conclusion: In cases with scapholunate dissociation and ulnar impaction syndrome, treatment should be directed toward both. When done with careful pre-operative evaluation and planning in one setting, can yield favorable results.