Sefcik Ryan, Andrews Kyle, Stirton Jacob, Lea Justin, Tanios Mina, Skie Martin
Department of Orthopaedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Case Rep Orthop. 2018 Jun 11;2018:9591502. doi: 10.1155/2018/9591502. eCollection 2018.
Isolated dislocations of the scaphoid are extremely uncommon injuries and are often associated with significant ligamentous failures. Since scaphoid dislocations typically present with associated carpal fractures, few cases of isolated dislocations of the scaphoid exist in the literature. The proposed treatment options in the literature range from closed reduction and casting to open reduction and internal fixation. We present the case of a 41-year-old male with an isolated scaphoid dislocation in whom open reduction and internal fixation was performed with K-wires. At five months follow-up, the patient had returned to work and all desired activities.
舟状骨孤立性脱位是极为罕见的损伤,常伴有严重的韧带损伤。由于舟状骨脱位通常伴有腕骨骨折,文献中关于舟状骨孤立性脱位的病例很少。文献中提出的治疗方案从闭合复位石膏固定到切开复位内固定不等。我们报告一例41岁男性舟状骨孤立性脱位患者,采用克氏针进行切开复位内固定。随访五个月时,患者已恢复工作并能进行所有期望的活动。