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J Wrist Surg 2022; 11(06): 541-545
DOI: 10.1055/s-0041-1735884
Case Report

Scaphoid Dislocation Reconstruction with Scapholunotriquetral Ligament Tenodesis

Brian Mailey
1   Division of Surgery, Institute for Plastic Surgery, Southern Illinois University, Springfield, Illinois
,
Amanda L. Brown
2   Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois
,
James Winters
1   Division of Surgery, Institute for Plastic Surgery, Southern Illinois University, Springfield, Illinois
› Author Affiliations Funding None.
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Abstract

Traumatic injuries leading to complex scaphoid dislocations are uncommon. We present a successful reconstructive case after a complex intercarpal instability injury using scapholunotriquetral tenodesis without the need for Kirschner wire fixation and early controlled range of motion therapy. At 3 months, the patient had a pain-free wrist with a 100-degree arc of motion and returned to work with full functionality. A literature review was performed to describe the previously published surgical treatments of this injury pattern and compare functional outcomes.

Keywords

scaphoid dislocation - scaphoid bone - ligaments - wrist reduction


Publication History

Received: 23 May 2021

Accepted: 03 August 2021

Article published online:
21 October 2021

© 2021. Thieme. All rights reserved.

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  • References

  • 1 Higgs SL. Two cases of dislocation of carpal scaphoid. Proc R Soc Med 1930; 23 (09) 1337-1339
    PubMedGoogle Scholar
  • 2 Buzby BF. Irdocs. Ann Surg 1934; 100: 533-535
    PubMedGoogle Scholar
  • 3 Richards RSBJ, Bennett JD, Roth JH. Scaphoid dislocation with radial-axial carpal disruption. AJR Am J Roentgenol 1993; 160 (05) 1075-1076
    CrossrefPubMedGoogle Scholar
  • 4 Leung YF, Wai YL, Kam WL, Ip PS. Solitary dislocation of the scaphoid. From case report to literature review. J Hand Surg [Br] 1998; 23 (01) 88-92
    CrossrefPubMedGoogle Scholar
  • 5 Connell MC, Dyson RP. Dislocation of the carpal scaphoid; report of a case. J Bone Joint Surg Br 1955; 37-B (02) 252-253
    CrossrefPubMedGoogle Scholar
  • 6 McNamara MG, Corley FG. Dislocation of the carpal scaphoid: an 8-year follow-up. J Hand Surg Am 1992; 17 (03) 496-498
    CrossrefPubMedGoogle Scholar
  • 7 Szabo RM, Newland CC, Johnson PG, Steinberg DR, Tortosa R. Spectrum of injury and treatment options for isolated dislocation of the scaphoid. A report of three cases. J Bone Joint Surg Am 1995; 77 (04) 608-615
    CrossrefPubMedGoogle Scholar
  • 8 Kanaya K, Wada T, Yamashita T. Scaphoid dislocation associated with axial carpal dissociation during volar flexion of the wrist: a case report. Hand Surg 2010; 15 (03) 229-232
    CrossrefPubMedGoogle Scholar
  • 9 Garcia-Elias M, Dobyns JH, Cooney III WP, Linscheid RL. Traumatic axial dislocations of the carpus. J Hand Surg Am 1989; 14 (03) 446-457
    CrossrefPubMedGoogle Scholar
  • 10 Chloros GD, Themistocleous GS, Zagoreos NP, Korres DS, Efstathopoulos DG, Soucacos PN. Isolated dislocation of the scaphoid. Arch Orthop Trauma Surg 2006; 126 (03) 197-203
    CrossrefPubMedGoogle Scholar
  • 11 Russell TB. Inter-carpal dislocations and fracture dislocations. J Bone Joint Surg 1949; 31-B
    PubMedGoogle Scholar
  • 12 Taylor AR. Dislocation of the scaphoid. Postgrad Med J 1969; 45 (521) 186-189
    CrossrefPubMedGoogle Scholar
  • 13 Sides D, Laorr A, Greenspan A. Carpal scaphoid: radiographic pattern of dislocation. Radiology 1995; 195 (01) 215-216
    CrossrefPubMedGoogle Scholar
  • 14 Horton T, Shin AY, Cooney WP. 3rd. Isolated scaphoid dislocation associated with axial carpal dissociation: an unusual injury report. J Hand Surg Am 2004; 29 (06) 1102-1108
    CrossrefPubMedGoogle Scholar
  • 15 Somford MP, Sturm MF, Vroemen JP. Reconstruction of isolated scaphoid dislocation with carpal dissociation, associated with a carpal anomaly. Strategies Trauma Limb Reconstr 2010; 05 (02) 105-110
    CrossrefPubMedGoogle Scholar