Isolated volar fracture-dislocation of the scaphoid with acute carpal tunnel syndrome: a case report.
Dislocations and fracture-dislocations of the scaphoid are rare injuries. When they occur in a volar direction, they may be complicated by median nerve compression. While volar dislocations and fracture-dislocations of the scaphoid presenting late with median nerve compression have been reported, such injuries presenting with acute median nerve compression have not been reported. We describe a case of volar fracture-dislocation of the proximal half of the scaphoid causing median nerve compression and presenting with acute carpal tunnel syndrome. Urgent open reduction and internal fixation of the scaphoid along with decompression of the median nerve achieved prompt relief of the neurological symptoms.
Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar New Delhi, India.
Arun
A
Kannan
Dharmesh
D
Khatri
Vivek
V
Trikha
Buddhadev
B
Choudhary
D000208:Acute Disease; D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000209:etiology*; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications*; D008297:Male; D021361:Scaphoid Bone / Q000293:injuries*