Isolated Scaphoid Dislocation From Low-Energy Wrist Trauma

Authors

Adrian Moy, Morsani School of Medicine
Ethan Song, Morsani School of Medicine
Sean J. Wallace MD, Lehigh Valley HospitalFollow
Robert Teixeira MD, Lehigh Valley Health NetworkFollow
Yee-Cheng Low MD, Lehigh Valley Health NetworkFollow
Lawrence Weiss, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

3-2021

Abstract

Isolated scaphoid dislocation is an extremely rare injury typically caused by high-energy trauma. We present the first observed case of isolated scaphoid dislocation resulting from a non-traumatic injury of the wrist in power-grip tension in a patient with a questionable history of Marfan Syndrome. A 20-yearold right-hand dominant man presented to the emergency department with right wrist pain and deformation after carrying a table. The patient reported a possible history of Marfan Syndrome, but it had never been definitively diagnosed. Imaging revealed radial dislocation of the scaphoid. Bedside closed reduction was performed followed by outpatient ligament reconstruction with return to normal activities at 6 months. Early diagnosis and management lead to an improved prognosis for isolated scaphoid dislocation. Regardless of patient history or mechanism of injury, treatment options include closed reduction, percutaneous fixation, and/or open reduction with internal fixation and ligamentous reconstruction

Volume

3

First Page

99

Published In/Presented At

Moy, A., Song, E., Wallace, S.J., Teixeira, R., Low, Y., & Weiss, L. (2021, March). Isolated scaphoid dislocation from low-energy wrist trauma. Journal of Hand Surgery Global Online, 3, 99-102.

Disciplines

Plastic Surgery | Surgery

PubMedID

35415541

Department(s)

Department of Surgery

Document Type

Article