Skip to main content
Log in

The scaphocapitate fracture syndrome: a case report and literature analysis

  • Up-to date Review and Case Report
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Scaphocapitate fracture syndrome is rare, complex injury. We report an unusual presentation of scaphocapitate fracture syndrome, involving fracture of the scaphoid and capitate associated with volar dislocation of the lunate and scaphoid and the proximal fragment of the capitate in a 30-year-old male after a motor vehicle accident. Computed tomography was found to be helpful for achieving the correct diagnosis. Open reduction and internal fixation was performed. The scaphoid fracture was fixed using a headless compression screw, and the volar displaced proximal fragment of the capitate was reduced to its original position, but could not be fixed because of severe comminution. This case cautions that the capitate fragment should not be excised even when it cannot be fixed due to comminution.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Monahan PR, Galasko CS (1972) The scapho-capitate fracture syndrome: a mechanism of injury. J Bone Joint Surg Br 54:122–124

    PubMed  CAS  Google Scholar 

  2. 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 

  3. Andreasi A, Coppo M, Danda F (1986) Trans-scapho-capitate perilunar dislocation of the carpus. Ital J Orthop Traumatol 12:461–466

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  5. Jones GB (1955) An unusual fracture dislocation of the carpus. J Bone Joint Surg Br 37:146–147

    PubMed  Google Scholar 

  6. 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 

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

    Article  PubMed  CAS  Google Scholar 

  8. Weseley MS, Barenfeld PA (1972) Trans-scaphoid, transcapitate, transtriquetral, perilunate tracture-dislocation of the wrist. J Bone Joint Surg Am 54:1073–1078

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  10. Papadonikolakis A, Mavrodontidis AN, Zalavras C, Hantes M, Soucacos PN (2003) Transscaphoid volar lunate dislocation. A case report. J Bone Joint Surg Am 85:1805–1808

    PubMed  Google Scholar 

  11. Stevanovic M, Schnall SB, Filler BC (1996) Trans-scaphoid, transtriquetral, volar lunate fracture-dislocation of the wrist. J Bone Joint Surg Am 78:1907–1910

    PubMed  CAS  Google Scholar 

  12. 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 

  13. Hamdi MF (2011) The scaphocapitate fracture syndrome: report of a case and a review of the literature. Musculoskeletal Surg 2012(96):223–226

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  19. Schliemann B, Langer M, Kösters C, Raschke MJ, Ochman S (2011) Successful delayed surgical treatment of a scaphocapitate fracture. Arch Orthop Trauma Surg 131:1555–1559

    Article  PubMed  Google Scholar 

  20. 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 10:291–293

    Article  PubMed  CAS  Google Scholar 

  21. Meyers MH, Wells R, Harvey JP Jr (1971) Naviculo-capitate fracture syndrome. Review of the literature and a case report. J Bone Joint Surg Am 53:1383–1386

    PubMed  CAS  Google Scholar 

  22. 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 

  23. Adkinson JW, Chapman MW (1982) Treatment of acute lunate and perilunate dislocations. Clin Orthop Relat Res 164:199–207

    Google Scholar 

  24. Vander Grend R, Dell PC, Glowczewskie F, Leslie B, Ruby LK (1984) Intraosseous blood supply of the capitates and its correlation with aseptic necrosis. J Hand Surg Am 9:677–683

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jong Pil Kim.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kim, Y.S., Lee, H.M. & Kim, J.P. The scaphocapitate fracture syndrome: a case report and literature analysis. Eur J Orthop Surg Traumatol 23 (Suppl 2), 207–212 (2013). https://doi.org/10.1007/s00590-013-1182-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-013-1182-5

Keywords

Navigation