case_images: PMC10837301_01
case_images: An approximately 20-cm laceration from the volar radial aspect of the proximal wrist extending distally to the volar ulnar aspect of the base of the little finger. The dislocated scaphoid is directly visualized within the laceration to be distally tethered by soft tissue attachments.
case_images: gr1.jpg
case_images: PMC10837301_01_gr1.jpg
case_images: fig1
case_images: The scaphoid was directly visualized through the laceration to be volarly dislocated with some soft tissue attachment (Fig. 1).
case_images: Three radiographic views of the left wrist. A Posterior-anterior view. B Oblique view. C Lateral view. These images demonstrate a palmar-radial scaphoid dislocation, a hamate body fracture at the base of the hook of hamate, and a fourth metacarpal midshaft fracture.
case_images: gr2.jpg
case_images: PMC10837301_01_gr2.jpg
case_images: fig2
case_images: Radiographs confirmed a volarly dislocated scaphoid as well as a minimally displaced midshaft fourth metacarpal fracture and a hamate body fracture at the base of the hook of hamate (Fig. 2A-C).
case_images: Intraoperative image depicting the surgical release of the ulnar nerve and its branches. The scaphoid is also seen dislocated.
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case_images: PMC10837301_01_gr3.jpg
case_images: fig3
case_images: Given the hamate fracture, Guyon canal was released as well as the motor branch of the ulnar nerve and common digital nerves to the fourth web space and little finger (Fig. 3).
case_images: Two fluoroscopic views of the left wrist. A Posterior-anterior view. B Lateral view. These images demonstrate reduction and fixation of the hamate fracture with two interfragmentary screws as well as a reduced scaphoid into the scaphoid fossa.
case_images: gr4.jpg
case_images: PMC10837301_01_gr4.jpg
case_images: fig4
case_images: Next, the scaphoid was reduced into its anatomic position (Fig. 4A, B).
case_images: Two fluoroscopic views of the left hand. A Posterior-anterior view. B Lateral view. These images demonstrate reduction and fixation of the metacarpal fracture with a 2-mm plate. The Nano Corkscrew FT can also be visualized in the triquetrum. The scapholunate interval is optimally reduced.
case_images: gr5.jpg
case_images: PMC10837301_01_gr5.jpg
case_images: fig5
case_images: Because of comminution at the fracture site, a near-anatomic reduction was obtained, and internal fixation was achieved with a 2-mm plate (Fig. 5A, B).
case_images: Two radiographic views of the left wrist. A Posterior-anterior view. B Lateral view. These images demonstrate optimal reduction and fixation of the patient's multiple injuries. A vessel loop used to aid in superficial suture removal can be visualized.
case_images: gr6.jpg
case_images: PMC10837301_01_gr6.jpg
case_images: fig6
case_images: The patient was placed in a well-padded volar resting splint following surgery, and the patient's 2-week postoperative radiographs demonstrated optimal reduction and fixation (Fig. 6A, B).