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Isolated scaphoid dislocation: A case report and review of literature
Authors:Si-Da Liu  Bao-Sheng Yin  Feng Han  Hua-Jun Jiang  Wei Qu
Affiliation:Si-Da Liu, Bao-Sheng Yin, Feng Han, Hua-Jun Jiang, Wei Qu, Department of Orthopedics, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
Abstract:BACKGROUNDIsolated 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.CASE SUMMARYA 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.CONCLUSIONArthroscopy-assisted reduction is a minimally invasive method to reduce the dislocated scaphoid and maintain the blood supply.
Keywords:Isolated scaphoid dislocation   Classification   Delayed diagnose   Treatment options   Wrist arthroscopy   Case report
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