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Successful delayed surgical treatment of a scaphocapitate fracture

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Abstract

The scaphocapitate fracture syndrome is a rare entity of a perilunate fracture-dislocation. The diagnosis is frequently missed at initial presentation to a physician. Usually, a CT scan is required to reveal the extent of the lesion. Operative treatment consists of open reduction and internal fixation with screws (e.g. headless compression screw) or Kirschner wires. We report on a case of a 19-year-old man who presented to our hospital 2 months after he fell on his left wrist. He complained about persistent pain and a decreased range of motion after conservative treatment in a short arm cast. The diagnosis was finally made by a CT scan and the patient was treated operatively using headless compression screws in both the capitate and the scaphoid. After 12 weeks, fractures were completely healed radiographically and the patient returned to work. At follow-up 16 months after trauma, the patient had no further complaints. Range of motion increased and no avascular necrosis could be observed.

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References

  1. Fenton RL (1956) The naviculo-capitate fracture syndrome. J Bone Joint Surg Am 38:681–684

    PubMed  Google Scholar 

  2. Ameziane L, Marzouki A, Souhail SM, Daoudi A, Agoumi O (2003) Le syndrome de Fenton ou fracture scaphocapitale (à propos d’un cas). Chir Main 22:318–320

    Article  PubMed  CAS  Google Scholar 

  3. Boisgard S, Bremont JL, Guyonnet G, Chatenet T, Levai JP (1996) Fracture scapho-capitale. A propos d’un cas, revue de la littérature. Ann Chir Main Memb Super 15:181–188

    Article  PubMed  CAS  Google Scholar 

  4. Brekkan A, Karlsson J, Thorsteinsson T (1983) Case report 252. Scapho-capitate fracture of the right wrist with dislocation and rotation to 180 degrees of the proximal fragment of the capitate. Skeletal Radiol 10:29–293

    Google Scholar 

  5. Resnik CS, Gelberman RH, Resnick D (1983) Transscaphoid, transcapitate, perilunate fracture dislocation (scaphocapitate syndrome). Skeletal Radiol 9:192–194

    Article  PubMed  CAS  Google Scholar 

  6. Nagai T, Nagaoka M, Ryu J (2009) Scaphocapitate fracture associated with median nerve palsy. J Orthop Sci 14:339–343

    Article  PubMed  Google Scholar 

  7. Peters A, Plesch J, Schacht U (1997) Die scaphocapitale Luxationsfraktur des Handgelenks im Rahmen einer Mehrfachverletzung. Chirurg 68:1187–1189

    Article  PubMed  CAS  Google Scholar 

  8. Gelberman RH, Gross MS (1986) The vascularity of the wrist. Identification of arterial patterns at risk. Clin Orthop Relat Res 202:40–49

    PubMed  Google Scholar 

  9. Freedman DM, Botte MJ, Gelberman RH (2001) Vascularity of the carpus. Clin Orthop Relat Res 383:47–59

    Article  PubMed  Google Scholar 

  10. Kumar A, Thomas AP (2001) Scapho-capitate fracture syndrome. A case report. Acta Orthop Belg 67:185–189

    PubMed  CAS  Google Scholar 

  11. Mazur K, Stevanovic M, Schnall SB, Hannani K, Zionts LE (1997) Scaphocapitate syndrome in a child associated with a distal radius and ulna fracture. J Orthop Trauma 11:230–232

    Article  PubMed  CAS  Google Scholar 

  12. Johnson RP (1980) The acutely injured wrist and its residuals. Clin Orthop Relat Res 149:33–44

    PubMed  Google Scholar 

  13. Pandit R (1998) Proximal and palmar dislocation of the lunate and proximal scaphoid as a unit in a case of scaphocapitate syndrome. A 32-month follow-up. J Hand Surg Br 23:266–268

    PubMed  CAS  Google Scholar 

  14. Mayfield JK (1980) Mechanism of carpal injuries. Clin Orthop Relat Res 149:45–54

    PubMed  Google Scholar 

  15. Mayfield JK, Johnson RP, Kilcoyne RK (1980) Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am 5:226–241

    PubMed  CAS  Google Scholar 

  16. Stein F, Siegel MW (1969) Naviculocapitate fracture syndrome. A case report: new thoughts on the mechansim of injury. J Bone Joint Surg Am 51:391–395

    PubMed  CAS  Google Scholar 

  17. Vance RM, Gelberman RH, Evans EF (1980) Scaphocapitate fractures. Patterns of dislocation, mechanisms of injury, and preliminary results of treatment. J Bone Joint Surg Am 62:271–276

    PubMed  CAS  Google Scholar 

  18. Mudgal C, Lovell M (1995) Scapho-capitate syndrome: distant fragment migration. Acta Orthop Belg 61:62–65

    PubMed  CAS  Google Scholar 

  19. Rand JA, Linscheid RL, Dobyns JH (1982) Capitate fractures: a long-term follow-up. Clin Orthop Relat Res 165:209–216

    PubMed  Google Scholar 

  20. Milliez PY, Dallaserra M, Thomine JM (1993) An unusual variety of scapho-capitate syndrome. J Hand Surg Br 18:53–57

    PubMed  CAS  Google Scholar 

  21. Steffens K, Luce S, Koob E (1994) Ungewöhnlicher Verlauf eines Scapho-Capitate-Syndroms. Handchir Mikrochir Plast Chir 26:12–14

    PubMed  CAS  Google Scholar 

  22. Shaikh AA, Saeed G (2007) Fenton syndrome in an adolescent. J Coll Physicians Surg Pak 17:55–56

    PubMed  Google Scholar 

  23. Schädel-Höpfner M, Marent-Huber M, Gazyakan E, Tanzer K, Werber KD, Siebert HR (2010) Acute non-displaced fractures of the scaphoid: earlier return to activities after operative treatment. A controlled multicenter cohort study. Arch Orthop Trauma Surg 130:1117–1127

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149, Münster, Germany

    Benedikt Schliemann, M. Langer, C. Kösters, M. J. Raschke & S. Ochman

Authors
  1. Benedikt Schliemann
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  2. M. Langer
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  3. C. Kösters
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  4. M. J. Raschke
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  5. S. Ochman
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Correspondence to Benedikt Schliemann.

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Schliemann, B., Langer, M., Kösters, C. et al. Successful delayed surgical treatment of a scaphocapitate fracture. Arch Orthop Trauma Surg 131, 1555–1559 (2011). https://doi.org/10.1007/s00402-011-1301-x

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  • DOI: https://doi.org/10.1007/s00402-011-1301-x

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