A rare entity of carpal dislocation: A case report

Q4 Medicine

Trauma Case Reports Pub Date : 2025-02-17 DOI:10.1016/j.tcr.2025.101141

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

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引用次数: 0

Abstract

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.

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罕见的腕关节脱位1例

孤立的腕舟骨脱位是非常罕见的损伤，通常伴有明显的韧带断裂。因此，治疗策略可能是相互冲突和多种多样的，从闭合复位和经皮固定到切开复位内固定和/或韧带重建。通常由高能量创伤引起，这些损伤常伴有相关的腕骨折。因此，文献中仅报道了少数孤立的舟状骨脱位病例。我们报告一例30岁男性孤立性舟状骨脱位，采用切开复位、克氏针内固定和韧带修复。在两年的随访中，患者成功地恢复了工作并恢复了所有期望的活动。早期诊断和适当的治疗是改善孤立性舟状骨脱位预后的关键。证据等级：六级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.