Fracture dislocation of scaphoid in association with polytrauma: Diagnostic and management considerations

Abstract

Isolated fracture of the scaphoid with the dislocation of the proximal bony component is a rare abnormality, usually encountered in a high-energy injury. Prompt diagnosis is essential for preferentially considering open reduction and fixation. Careful image analysis is necessary to exclude more frequent injuries such as lunate dislocation and establish encroachment of carpal tunnel or injury to median nerve. This presentation presents imaging and management consideration of the patient with the scaphoid fracture with dislocation of proximal component encountered in association with polytrauma.