RESUMO
CASE: A 29-year-old young active man with ununited necrosed proximal fifth of scaphoid with chronic scapholunate ligament disruption was managed by excision of proximal pole fragment and interosseous scapholunate reconstruction using modified Brunelli triple ligament tenodesis technique with satisfying outcome at 6 months and return to sports instructor job by the end of 1 year. CONCLUSION: Meticulous understanding and algorithmic itemwise approach of injury components can lead to optimal management of complex unstable wrist injuries such as scapholunate dissociation. To the best of our knowledge, this is the first report on excision of proximal pole of scaphoid coupled with scapholunate ligament reconstruction.
Assuntos
Fraturas Ósseas , Osteonecrose , Osso Escafoide , Masculino , Humanos , Adulto , Extremidade Superior , Ligamentos Articulares/diagnóstico por imagem , Ligamentos Articulares/cirurgia , Osso Escafoide/diagnóstico por imagem , Osso Escafoide/cirurgiaRESUMO
Primary aneurysmal bone cyst of the capitate is a rare disorder and it occurs commonly in the metacarpal bones. There are only three documented cases in literature of its occurrence in carpal bones. We report one such case of a 21-year-old male serving soldier, its clinical presentation, imaging findings, and treatment by curettage and bone grafting.