Acute coronal plane scaphoid fracture and scapholunate dissociation from an axial load: a case report.
Coronal fractures of the scaphoid are rare and can be difficult to diagnose. Axial load injuries that result in a complete coronal fracture of the scaphoid associated with an acute scapholunate dissociation are exceedingly rare. In our patient the radiographic finding of wide scapholunate dissociation was obvious; however, the coronal scaphoid fracture was not recognized initially nor suspected. During surgery the coronal scaphoid fracture was identified, reduced anatomically, and fixed with a compression screw. The scapholunate ligament also was repaired. A good result was obtained with return to sports with extension of 60 degrees and flexion of 70 degrees , grip strength equal to that of the uninjured wrist, and no radiographic problems (arthrosis, avascular necrosis, nonunion).
Shin
Alexander Y
AY
Department of Orthopedic Surgery, Hand Division, Mayo Clinic, Rochester, MN, USA.
Horton
Todd
T
Bishop
Allen T
AT
D000293:Adolescent; D050723:Fractures, Bone / Q000175:diagnosis* / Q000601:surgery; D006688:Hockey / Q000293:injuries; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D011859:Radiography; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014954:Wrist Injuries / Q000175:diagnosis* / Q000601:surgery