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The scaphocapitate fracture syndrome: report of a case and a review of the literature

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Abstract

The Fenton’s syndrome or scaphocapitate fracture syndrome has been described since 1950. This severe and uncommon injury occurs after a high-energy trauma of the wrist. This syndrome associated the fractures of the scaphoid and capitate, with a rotation of 90° or 180° of the proximal fragment of the capitate. The diagnosis is determined by careful physical and radiological examinations, including conventional radiographs. Computed tomography can be helpful in detecting such lesions. We report one case of Fenton’s syndrome that occurred after a high-energy trauma in a 22-year-old male. We discuss the mechanisms of the injury and the results of treatment.

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References

  1. Milliez PY, Dallaserra M, Thomine JM (1993) An unusual variety of scapho-capitate syndrome. J Hand Surg 18B:53–57

    Google Scholar 

  2. Kumar A, Thomas AP (2001) Scapho-capitate fracture syndrome: a case report. Acta Orthop Belg 67:185–189

    PubMed  CAS  Google Scholar 

  3. Ameziane L, Marzouki A, Souhail SM, Daoudi A, Agoumi O (2003) Fenton’s syndrome or scapho-capitate fracture (a case report). Chir Main 22(6):318–320 (French)

    Article  PubMed  CAS  Google Scholar 

  4. Monahan PR, Galasko CS (1972) The scapho-capitate fracture syndrome: a mechanism of injury. J Bone Joint Surg Br 54:122–124

    PubMed  CAS  Google Scholar 

  5. Vance RM, Gelberman RH, Evans EF (1980) Scaphocapitate fractures: patterns of dislocation, mechanisms of injury, and preliminary results of treatment. J Bone Joint Surg 62A:271–276

    Google Scholar 

  6. Arbter D, Piatek S, Wichlas F, Winckler S (2009) The scaphocapitate fracture syndrome (Fenton). Handchir Mikrochir Plast Chir 41(3):171–174 (German)

    Article  PubMed  CAS  Google Scholar 

  7. Sawant M, Miller J (2000) Scaphocapitate syndrome in an adolescent. J Hand Surg Am 25:1096–1099

    Article  PubMed  CAS  Google Scholar 

  8. Nagai T, Nagaoka M, Ryu J (2009) Scaphocapitate fracture associated with median nerve palsy. J Orthop Sci 14(3):339–343

    Article  PubMed  Google Scholar 

  9. Brekkan A, Karlsson J, Thorsteinsson T (1983) Case report 252. Scapho-capitate fracture of the right wrist with dislocation and rotation to 180 degrees of the proximal fragment of the capitate. Skeletal Radiol 10(4):291–293

    Article  PubMed  CAS  Google Scholar 

  10. Strohm PC, Laier P, Müller CA, Gutorski S, Pfister U (2003) Scaphocapitate fracture syndrome of both hands: first description of a bilateral occurrence of a rare carpal injury. Unfallchirurg 106:339–342 (German)

    Article  PubMed  CAS  Google Scholar 

  11. Stein F, Siegel MW (1969) Naviculocapitate fracture syndrome: a case report new thought on the mechanism of injury. J Bone Joint Surg Am 51:391–395

    PubMed  CAS  Google Scholar 

  12. Fenton RL (1956) The naviculo-capitate fracture syndrome. J Bone Joint Surg 38A:681–684

    Google Scholar 

  13. Vander Grend R, Dell PC, Glowczewskie F, Leslie B, Ruby LK (1984) Intraosseous blood supply of the capitate and its correlation with aseptic necrosis. J Hand Surg Am 9(5):677–683

    PubMed  CAS  Google Scholar 

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  1. Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, 5000, Monastir, Tunisia

    M. F. Hamdi

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  1. M. F. Hamdi
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Correspondence to M. F. Hamdi.

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Hamdi, M.F. The scaphocapitate fracture syndrome: report of a case and a review of the literature. Musculoskelet Surg 96, 223–226 (2012). https://doi.org/10.1007/s12306-011-0108-9

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  • DOI: https://doi.org/10.1007/s12306-011-0108-9

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