Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 12

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

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

References

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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.




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