Isolated Dislocation of Carpal Scaphoid: A Case Report.
- Author:
Sang Soo KIM
;
Dae Ho HA
;
Jeong In SONG
- Publication Type:Case Report
- Keywords:
Carpal;
Dislocation;
Open reduction
- MeSH:
Dislocations*;
Humans;
Median Nerve;
Necrosis;
Range of Motion, Articular;
Wrist
- From:The Journal of the Korean Orthopaedic Association
1999;34(5):989-992
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Case histories of isolated and complete volar dislocation of the carpal scaphoid have rarely been reported .We report here another such case. On examination, the wrist was moderately swollen and tender over its volar aspect. Radiographs showed isolated, complete volar dislocation of the scaphoid. We used open reduction with K-wire fixation as treatment. After four weeks of operative reduction the patient had undertaken neurolysis due to median nerve compression symptom (carpal tunnel syndrome). At six weeks, the K-wires were removed and the patient was allowed to do a range of motion exercise. Twenty months after injury, the wrist was asymptomatic and had a mid-range of active motion without instability. There was no roentgenographic evidences of scapholunate dissociation or avascular necrosis
