PMC8132080_01
Radiograph of wrist showing the dislocated proximal fragment of the scaphoid (white arrow).
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Radiographic examination of his wrist revealed a scaphoid fracture with volar displacement of the proximal scaphoid fragment (Figure 1).
Intraoperative photograph of the volar dislocation of proximal pole fragment of the scaphoid (white arrow).
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Intraoperatively, he was found to also have a sagittal split through his lunate fossa with an associated scapholunate and lunotriquetral ligament disruption (Figures 2 and 3).
Intraoperative photograph showing the reduced sagittal split through the lunate fossa of the distal radius (white arrow) and the scapholunate dissociation (black arrow).
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Intraoperatively, he was found to also have a sagittal split through his lunate fossa with an associated scapholunate and lunotriquetral ligament disruption (Figures 2 and 3).
Intraoperative fluoroscopic images of reduced scaphoid and lunate fossa fractures with temporary Kirschner wire reduction of radioscaphoid joint.
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His scaphoid fracture and lunate fossa fracture were reduced and stabilized with partially threaded cancellous screws (Figure 4).
Two-year follow-up radiograph showing radiocarpal degeneration.
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He was counseled on the possibility of further intervention based on its progression and his limitations to function (Figure 5).