Published online Mar 16, 2022. doi: 10.12998/wjcc.v10.i8.2559
Peer-review started: September 14, 2021
First decision: October 25, 2021
Revised: November 16, 2021
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: March 16, 2022
Processing time: 177 Days and 16.9 Hours
Isolated dislocations of the scaphoid are extremely rare types of injuries, commonly associated with severe ligament disruptions, and are occasionally misdiagnosed. Treatment options for dislocations of the scaphoid mainly include closed reduction, with or without internal fixation, and open reduction with ligament repair.
A 59-year-old male worker sustained a twisting trauma of his right wrist, caused by a moving belt while he was operating a machine. When he presented at our emergency department, the patient complained of swelling, tenderness, and restriction of movement of the right wrist. Radiographs confirmed a primary complex partial radial dislocation of the scaphoid and some chip fractures of the capitate and hamate. Closed reduction with K-wire internal fixation was performed with the assistance of arthroscopy, and an excellent prognosis was achieved.
Arthroscopy-assisted reduction is a minimally invasive method to reduce the dislocated scaphoid and maintain the blood supply.
Core Tip: Isolated scaphoid dislocations are extremely rare, commonly associated with severe ligament disruptions, and occasionally misdiagnosed. Treatment options for scaphoid dislocations mainly include closed reduction and open reduction with ligament repair. We present the case of a 59-year-old male who suffered an isolated scaphoid dislocation. Closed reduction with K-wire internal fixation was performed with the assistance of arthroscopy, and an excellent prognosis was achieved. Arthroscopy-assisted reduction is an efficient and minimally invasive method of reducing the dislocated scaphoid, while keeping the external ligament and capsule intact, preventing adhesion of the tendons and maintaining the blood supply.