Acute coronal plane scaphoid fracture and scapholunate dissociation from an axial load: A case report

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5 Scopus citations

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 languageEnglish (US)
Pages (from-to)366-372
Number of pages7
JournalJournal of Hand Surgery
Volume30
Issue number2
DOIs
StatePublished - Mar 2005

Keywords

  • Acute
  • Coronal scaphoid fracture
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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