Spontaneous Union of Scaphoid Non-Union After Perilunate Fracture Dislocation
Author Information
Author(s): Hiren M. Divecha, Jon V. Clarke, Steven J. Barnes
Primary Institution: Department of Orthopaedic Surgery, Inverclyde Royal Hospital
Conclusion
The case demonstrates that an established scaphoid non-union can spontaneously unite nearly two years after an operatively managed perilunate fracture dislocation.
Supporting Evidence
- Perilunate dislocations are often missed at initial presentation.
- Prompt surgical intervention is crucial to prevent complications.
- Spontaneous union of scaphoid fractures in established non-union cases is rare.
Takeaway
Sometimes, a broken bone that didn't heal can heal on its own after a long time, even if doctors thought it needed more surgery.
Methodology
The case involved surgical management of a perilunate fracture dislocation followed by observation of spontaneous union.
Limitations
The patient failed to attend follow-up appointments, which limited the ability to monitor recovery.
Participant Demographics
A 19-year-old right-hand-dominant male smoker.
Digital Object Identifier (DOI)
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