Hein Rachel E, Pidgeon Tyler S, Mithani Suhail K, Klifto Christopher S, Ruch David S, Richard Marc J
Department of Surgery, Division of Plastic Surgery, Durham, NC.
Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC.
J Hand Surg Am. 2022 Mar;47(3):293.e1-293.e8. doi: 10.1016/j.jhsa.2021.01.010. Epub 2021 Mar 20.
Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the long-ring metacarpal relationship. Both of these patients underwent reduction and fixation using a wrist spanning plate, which was removed approximately 2 months after injury. Follow-up of these patients demonstrated maintenance of reduction, axial stability, and return of painless range of motion.
