Scapho-Lunate Disassociation (6 months old)
Presented by Dr. Sudhir Warrier · MS (Ortho), D.Ortho; Clinical & Research Fellowship – Gyeongsang National University (Korea); Clinical Fellowship – Okayama University (Japan); Hand Surgery Fellowship – Govt. Stanley Hospital (Madras)
Scapho-Lunate Disassociation (6 months old)
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Sign in to watchCreate a free accountA patient presented with pain and restricted wrist movement following a neglected traumatic scapholunate injury. The contralateral wrist had initially been more symptomatic because of an associated styloid fracture, resulting in delayed attention to the affected wrist. The patient was consented for scapholunate reconstruction or salvage surgery, depending on the intraoperative condition of the articular surfaces.
Discussion
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In chronic scapholunate dissociation, the final procedure must be determined by intraoperative cartilage status. When radioscaphoid degeneration precludes reconstruction, but the capitate and lunate fossa remain preserved, proximal row carpectomy offers a motion-preserving alternative to total wrist fusion.
Key takeaway
In chronic scapholunate dissociation, the final procedure must be determined by intraoperative cartilage status. When radioscaphoid degeneration precludes reconstruction, but the capitate and lunate fossa remain preserved, proximal row carpectomy offers a motion-preserving alternative to total wrist fusion.