Isolated Dislocation of the Scaphoid with Associating Radial Styloid Fracture: A Case Report

Ümit Tuhanıoğlu,Fırat Seyfettinoğlu,Akif Albayrak,Hasan Ulaş Oğur,Hakan Çıçek

doi:10.4236/crcm.2015.412077

Abstract

Isolated dislocation of the carpal scaphoid is a rare injury. Such dislocation is extremely rare. In this article the authors report a twenty-eight-year-old man with isolated dislocation of the scaphoid with associating radial styloid fracture. We manage the patient with open reduction and Kirschner wire fixation. One year later there is a good functional and radiographic result.

Highlights

Isolated dislocation of the carpal scaphoid is an extremely rare injury, which is usually accompanied by significant ligamento-capsular lesions [1]
The aim of this report is to present a case of isolated dislocation of the scaphoid with radial styloid fracture and present this unusual injury along with its treatment and to attempt to merge the available experience in the literature in a suggested algorithm that will guide the surgeon confronted with this rare problem to treat it promptly and effectively
The initial radiographs demonstrated the proximal pole of the scaphoid to be displaced radial and volar to the radial styloid process and a fracture of radial styloid process (Figure 1(a) and Figure 1(b))

Summary

Introduction

Isolated dislocation of the carpal scaphoid is an extremely rare injury, which is usually accompanied by significant ligamento-capsular lesions [1]. We believe the pathomechanics of this injury to have been a flexion and radial deviation with an axial force on the wrist. The aim of this report is to present a case of isolated dislocation of the scaphoid with radial styloid fracture and present this unusual injury along with its treatment and to attempt to merge the available experience in the literature in a suggested algorithm that will guide the surgeon confronted with this rare problem to treat it promptly and effectively

Case Presentation

Discussion