Scaphocapitate fracture with capitate distant fragment migration compressing the median nerve: A Case Report

We present a rare case of scapho-capitate syndrome on a 25-year-old man with volar dislocation of the capitate’s fragment deep to the median nerve. X-rays and CT scan was performed and the patient was treated few hours after the injury by a hand specialist to prevent median neuropathy and avascular necrosis. Open reduction and internal fixation utilizing a Herbert screw and 3 K-wires was performed. Immediately post-operatively the acute neural symptoms had subsided and good reduction was acquired radiologically. At 6 months follow-up good fracture healing of scaphoid and capitate were observed and a full painless ROM was possible.