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Abstract
Bilateral trans-scaphoid perilunate fracture dislocations are uncommon and have been rarely reported in the literature. Furthermore, it is more difficult to manage in the case of Fenton’s syndrome (scaphocapitate fracture syndrome, trans-scaphoid trans-capitate fracture dislocation). These injuries occur after a high-energy trauma caused by fall from height or vehicular accidents. These fracture dislocation patterns have very few reported cases in the literature and little information as to the diagnosis, management, and surgical approach for treatment. We present a case of scaphocapitate fracture syndrome on the right hand and trans-scaphoid trans-triquetral perilunate injury on the left hand at the same time.
References
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Fig. 1.
(A, B) Displaced fracture of the scaphoid and the capitate with perilunate dislocation of the carpus. There is a mid-waist scaphoid fracture, linear hamate fracture and a proximal pole capitate fracture with 22° translation of the proximal capitate fragment. (C, D) Postoperative X-ray image of the right wrist.
Fig. 2.
(A, B) The roentgenograms images reveals dorsal perilunate dislocation associated with scaphoid and triquetral fractures of the left wrist. (C, D) Postoperative X-ray image of the left wrist.
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