Muñoz P Eduardo MM¹* and Muñoz P Gustavo Adolfo²

¹Orthopaedic Surgeon, Hand Surgeon Referent of the Traumatology and Orthopedics Clinical Service, Benicio Arzola Medina Hospital, San Carlos, Ñuble, Chile
²Orthopaedic Surgeon, Traumatology and Orthopedics Clinical Service, Benicio Arzola Medina Hospital, San Carlos, Ñuble, Chile

*Corresponding Author: Muñoz P Eduardo MM, Orthopaedic Surgeon, Hand Surgeon Referent of the Traumatology and Orthopedics Clinical Service, Benicio Arzola Medina Hospital, San Carlos, Ñuble, Chile.

Received: November 02, 2023; Published: November 22, 2023

Abstract

First described by Lorie (1937), then coined the term by Fenton (1956), the “Scaphocapitate fracture syndrome” is a rare condition, difficult to diagnose for the unprepared physician and is challenging to manage. This rare fracture case develops after high-energy wrist trauma. The present report is of a patient with a history of falling off a motorcycle at high speed, with an outstretched right hand. A 23 year old young man had scaphocapitate fracture syndrome, which included a displaced fracture of the capitate, dislocated thru all the carpal region, getting over the first extensor compartment of the wrist, without damaging the extensor retinaculum; a fracture at the waist of the scaphoid bone, displaced too, a perilunate dislocation, and a minor abrasion of the skin, at the ulnar side of the wrist. A few months after open reduction and internal fixation were performed, the patient had a satisfying outcome, having able to do 100% of daily activities; no necrosis of the scaphoid or capitate bones, controlled with X-ray and CT Scan. In addition, we have conducted a review of the literature regarding the mechanism of injury, diagnosis and outcome of published cases in correlation to the discussed case.

Keywords: Scaphocapitate Fracture; Fenton’s Syndrome; Capitate Fracture; Carpal Dislocations; Scaphocapitate Fracture Syndrome; Geater Arc Injury; Perilunate Fracture Dislocation; Hyperextension Injury; Carpal Instability

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Citation

Citation: Muñoz P Eduardo MM and Muñoz P Gustavo Adolfo. “An Unique Scaphocapitate Fracture Syndrome Dislocation: A Rare Case Report with Management and a Review of Literature of Fenton´s Syndrome or Scaphocapitate Fracture Dislocation Syndrome".Acta Scientific Orthopaedics 6.12 (2023): 39-44.

Copyright

Copyright: © 2023 Muñoz P Eduardo MM and Muñoz P Gustavo Adolfo. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.