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An Unusual Occurrence of Scaphoid Fracture Fragment in the Volar Compartment of the Forearm: A Case Report with Review of Literature

INTRODUCTION: Scaphoid fractures are common wrist injuries and are commonly missed. Patients present with radial-sided wrist pain. Computed Tomography and Magnetic Resonance Imaging help in better planning, with analysis of comminution, torn ligaments, timely diagnosis, and intricate fixation preven...

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Detalles Bibliográficos
Autores principales: Kansay, Rajeev, Sharma, Atul Rai, Singhal, Akash, Vashisht, Saurabh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930387/
https://www.ncbi.nlm.nih.gov/pubmed/35415133
http://dx.doi.org/10.13107/jocr.2021.v11.i12.2576
Descripción
Sumario:INTRODUCTION: Scaphoid fractures are common wrist injuries and are commonly missed. Patients present with radial-sided wrist pain. Computed Tomography and Magnetic Resonance Imaging help in better planning, with analysis of comminution, torn ligaments, timely diagnosis, and intricate fixation prevent avascular necrosis, non-union, and carpal collapse. CASE PRESENTATION: We present a rare scenario of right hand dominant 42 years male with scaphoid waist fracture, where the fracture fragment was unusually displaced 4 cm proximal to the wrist in the volar compartment of the forearm. Urgent open reduction and internal fixation with a Herbert screw was done. At 1 year follow-up, fracture united, with satisfactory range of motion and functional outcomes of the wrist. CONCLUSION: Timely diagnosis and urgent operative intervention for unstable displaced scaphoid fractures with rigid fixation provides long-term satisfactory outcomes and prevents complications.