Aditya Soral, Kumar Varshney-Manish
Department of Orthopaedics, Rungta Hospital, Rajasthan, India.
Chin J Traumatol. 2013;16(3):189-92.
Scaphoid dislocation is a rare injury. Traditionally it has been classified into isolated dislocation and dislocation associated with axial carpal disruption. We present a unique case of scaphoid dislocation associated with proximal migration of the entire distal carpal row as a single unit and hamate fracture with no axial carpal disruption. This injury complex has not been previously described in the literature. The purpose of this case report is to emphasize that in absence of axial carpal dissociation with scaphoid dislocation, a careful evaluation of injury to other bones should be done and treated accordingly to maximize the chances of favourable outcome with reconstructive surgery.
舟状骨脱位是一种罕见的损伤。传统上，它被分为单纯脱位和与腕骨轴向损伤相关的脱位。我们报告了一例独特的舟状骨脱位病例，其伴有整个远侧腕骨排作为一个整体向近端移位以及钩骨骨折，且无腕骨轴向损伤。这种损伤复合体此前在文献中未曾描述。本病例报告的目的是强调，在舟状骨脱位且无腕骨轴向分离的情况下，应仔细评估其他骨骼的损伤并相应地进行治疗，以最大程度提高重建手术获得良好预后的机会。
