Mierisch Cay, Wood Robert, Pearson Jacob, Ulrich Gary, Vergun Madeleine
Department of Orthopaedic Surgery, Samaritan Health Services Good Samaritan Regional Medical Center, Corvallis, OR.
Samaritan Health Services Orthopaedic Surgery Residency, Corvallis, OR.
J Hand Surg Glob Online. 2023 Nov 18;6(1):107-113. doi: 10.1016/j.jhsg.2023.10.004. eCollection 2024 Jan.
Scaphoid dislocation represents a rare injury with only a few case reports and limited case series reported in the literature. The majority of scaphoid dislocations result from a high-energy trauma causing hyperextension and ulnar deviation of the wrist. The severity of a scaphoid dislocation depends on the degree of periscaphoid ligamentous injury as well as the presence of concomitant injuries, such as axial carpal dissociation. The most common complication after a scaphoid dislocation is scapholunate dissociation, which emphasizes the importance of scapholunate ligament repair/reconstruction in these cases. We report a case of an open scaphoid dislocation with the associated injuries of a hamate fracture and fourth metacarpal fracture treated with an open reduction of the scaphoid, open ligamentous repair and augmentation of the involved carpal ligaments, and open reduction internal fixation of both the hamate and the fourth metacarpal fractures.
舟状骨脱位是一种罕见的损伤，文献中仅有少数病例报告和有限的病例系列。大多数舟状骨脱位是由高能创伤导致腕关节过度伸展和尺侧偏斜引起的。舟状骨脱位的严重程度取决于舟状骨周围韧带损伤的程度以及是否存在合并损伤，如轴向腕骨分离。舟状骨脱位后最常见的并发症是舟月骨分离，这凸显了在这些病例中修复/重建舟月韧带的重要性。我们报告一例开放性舟状骨脱位病例，伴有钩骨骨折和第四掌骨骨折，采用舟状骨切开复位、开放性韧带修复及相关腕韧带增强术，以及钩骨和第四掌骨骨折切开复位内固定术进行治疗。
