Scaphocapitate fracture - dislocation

Abstract

Case: A 22-year-old man presented with a scaphocapitate fracture-dislocation with the proximal fragment of the capitate in 180° rotation and a proximal pole volar scaphoid fracture. He was treated with open reduction and internal fixation using a dorsal approach, with reduction of dislocation and osteosynthesis of the capitate using a Herbert screw and three K-wires. Postoperative immobilisation was performed using an antebrachial palmar splint for 8 weeks. The modified Mayo wrist score was 100 6 months postoperatively. Radiologically, complete consolidation without intracarpal misalignment was observed.Conclusion: Open reduction with internal fixation is an option for preventing complications in scaphocapitate fracture-dislocations.