Abstract
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° and flexion of 70°, grip strength equal to that of the uninjured wrist, and no radiographic problems (arthrosis, avascular necrosis, nonunion).
Original language | English (US) |
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Pages (from-to) | 366-372 |
Number of pages | 7 |
Journal | Journal of Hand Surgery |
Volume | 30 |
Issue number | 2 |
DOIs | |
State | Published - Mar 2005 |
Keywords
- Acute
- Coronal scaphoid fracture
- Treatment
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine