Novel Technique in the Management of Palmar-Divergent Dislocation of Scaphoid and Lunate

Abstract

We present a case of a 38-year-old right-handed male physical worker with traumatic divergent dislocation of both the scaphoid and lunate bones. He was referred to our ward five days post-accident. After open reduction, he was treated with a novel technique of free tendon reconstruction of the scapholunate ligament complex and internal fixation with K-wires through the dorsal approach. At a 18-month-follow up the patient was pain-free, had a good wrist function with no evidence of avascular necrosis of the scaphoid nor lunate, and was satisfied with the general result.