Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates

Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the long -ring metacarpal relationship. Both of these patients underwent reduction and fixation using a wrist spanning plate, which was removed approximately 2 months after injury. Follow-up of these patients demonstrated maintenance of reduction, axial stability, and return of painless range of motion. (J Hand Surg Am. 2022;47(3):293.e1-e8. Copyright (c) 2022 by the American Society for Surgery of the Hand. All rights reserved.)

Automated summary

This article reports on two complex scaphoid dislocations that demonstrate axial instability, as well as disruption of the capitohamate articulation and the long-ring metacarpal relationship. The patients underwent reduction and fixation using a wrist spanning plate, and follow-up showed maintained reduction, axial stability, and a return to painless range of motion.