title: Isolated fracture of the capitate with rotation of the proximal fragment. Case report.
abstract: A case of capitate fracture in a 28-year-old man, with a 180-degree rotation (volar dislocation) of the proximal fragment is reported. Due to a late diagnosis, the patient presented 2 weeks after trauma. Open reduction and internal fixation with Kirschner wires provided good bone alignment, uneventful healing and a good range of wrist motion was achieved. The authors remind the reader the possibility of capitate fracture, a rare but troublesome event among wrist traumas, requiring a prompt diagnosis and treatment to relief important wrist pain and to restore function. Moreover, in consideration of important vascular complications, producing non-union and arthritis, the emerging role of imaging in detecting even minor signs of bone necrosis, leading to correct surgical indications, has to be taken into account.
authors.affiliation: Chirurgie plastique, département des spécialités médicales, chirurgicales et odontostomatologie, université de Messine, Messina, Italy. mrcolonna1@libero.it
authors.forename: M R
authors.initials: MR
authors.lastname: Colonna
authors.forename: C
authors.initials: C
authors.lastname: Crisafulli
authors.forename: F
authors.initials: F
authors.lastname: Stagno d'Alcontres
authors.forename: G
authors.initials: G
authors.lastname: Risitano
mesh_terms: D000328:Adult; D001864:Bone Wires; D051224:Capitate Bone / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular; D016896:Treatment Outcome