Case ReportsScaphoid and Lunate Dislocation with Complete Soft-Tissue Avulsion A Case ReportPhan, Kevin H. MD1; Azimi, Hassan J. MD1,a; Franko, Orrin I. MD1; Abrams, Reid A. MD1 Author Information 1School of Medicine, University of California, San Diego, San Diego, California aE-mail address for H.J. Azimi: [email protected] JBJS Case Connector: July 27, 2016 - Volume 6 - Issue 3 - p e58 doi: 10.2106/JBJS.CC.15.00112 Buy Metrics Abstract Case: We describe an intercarpal dislocation with proximal and rotatory displacement of the lunate and with volar and radial dislocation of the scaphoid; both bones were stripped of soft tissue. Treatment involved ORIF (open reduction and internal fixation). Three years postoperatively, the patient had a DASH (Disabilities of the Arm, Shoulder and Hand) score of 10, equivalent grip strength and 50% wrist palmar flexion and 98% wrist dorsiflexion compared with the uninjured side, and radiographic evidence of posttraumatic arthritis. Conclusion: Treatment of simultaneous divergent lunate and scaphoid dislocation with loss of nearly all soft-tissue attachments and vascular supply by means of ORIF and repair of soft-tissue structures can result in a favorable intermediate-term functional outcome and may be superior to other salvage procedures such as proximal row carpectomy. Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
