A rare entity of carpal dislocation: A case report

Isolated dislocations of the carpal scaphoid are extremely rare injuries, often associated with significant ligamentous disruptions. Consequently, treatment strategies can be conflicting and varied, ranging from closed reduction and percutaneous fixation to open reduction with internal fixation and/...

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Main Authors: El Hassani Abdelkrim, Hicham Douma, Ramzi Zakaria, Belloughe Yacoub, Habbab Mohamed, El Kasseh Mostapha, Nassiri Mohamed, Abdessalam Achkoun, Hanane El Haoury, Mohamed Madhar, Rachid Chafik
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Trauma Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352644025000184
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Summary:Isolated dislocations of the carpal scaphoid are extremely rare injuries, often associated with significant ligamentous disruptions. Consequently, treatment strategies can be conflicting and varied, ranging from closed reduction and percutaneous fixation to open reduction with internal fixation and/or ligamentous reconstruction.Typically caused by high-energy trauma, these injuries frequently present alongside associated carpal fractures. As a result, only a few cases of isolated scaphoid dislocations have been reported in the literature.We present the case of a 30-year-old male with an isolated scaphoid dislocation managed with open reduction, internal Kirschner wire fixation, and ligamentous repair. At the two-year follow-up, the patient had successfully returned to work and resumed all desired activities.Early diagnosis and appropriate management are critical to improving the prognosis of isolated scaphoid dislocations. Level of evidence: Level VI.
ISSN:2352-6440