Isolated carpal scaphoid dislocation


Published online: Aug 27 2006

John G. Kennedy, Phillip O'Connor, John Brunner, Christopher Hodgkins, John Curtin

From the Hospital for Special Surgery, New York, USA and the Cork University Hospital, Cork, Ireland

Abstract

Isolated carpal scaphoid dislocations are rare. Because of this, treatment strategies can be conflicting and vague. The current authors present a case of isolated scaphoid dislocation that was treated initially with closed reduction and percutaneous pinning. Failure of this index treatment necessitated open reduction and internal fixation providing an adequate short-term outcome. Current treatment strategies now advocate ligament reconstruction as a first-line treatment to restore normal anatomy and preserve function.