Liu Si-Da, Yin Bao-Sheng, Han Feng, Jiang Hua-Jun, Qu Wei
Department of Orthopedics, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China.
World J Clin Cases. 2022 Mar 16;10(8):2559-2568. doi: 10.12998/wjcc.v10.i8.2559.
Isolated dislocations of the scaphoid are extremely rare types of injuries, commonly associated with severe ligament disruptions, and are occasionally misdiagnosed. Treatment options for dislocations of the scaphoid mainly include closed reduction, with or without internal fixation, and open reduction with ligament repair.
A 59-year-old male worker sustained a twisting trauma of his right wrist, caused by a moving belt while he was operating a machine. When he presented at our emergency department, the patient complained of swelling, tenderness, and restriction of movement of the right wrist. Radiographs confirmed a primary complex partial radial dislocation of the scaphoid and some chip fractures of the capitate and hamate. Closed reduction with K-wire internal fixation was performed with the assistance of arthroscopy, and an excellent prognosis was achieved.
Arthroscopy-assisted reduction is a minimally invasive method to reduce the dislocated scaphoid and maintain the blood supply.
舟骨孤立性脱位是极为罕见的损伤类型，常伴有严重的韧带断裂，且偶尔会被误诊。舟骨脱位的治疗选择主要包括闭合复位（有或无内固定）以及切开复位并韧带修复。
一名59岁男性工人在操作机器时，被移动的皮带导致右手腕扭转创伤。患者就诊于我院急诊科时，主诉右手腕肿胀、压痛及活动受限。X线片证实为舟骨原发性复杂桡侧部分脱位，以及头状骨和钩骨的一些小片状骨折。在关节镜辅助下进行了克氏针内固定闭合复位，预后良好。
关节镜辅助复位是一种微创方法，可用于复位脱位的舟骨并维持血供。
