Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report

doi:10.12998/wjcc.v11.i9.2060

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 11, Issue 9

This Article

Peer-Review Report of This Article

CrossCheck and Google Search of This Article

Academic Rules and Norms of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Number of Hits and Downloads for This Article

Total Article Views (6001)

All Articles published online

The chart showing PDF series, WORD series, HTML series, Figures (1-5) series.

Item

Count

PDF

211

WORD

HTML

3423

Figures (1-5)

841

Sum=4530

Publishing Process of This Article

The chart showing Browse series, Download series.

Item

Count

Browse

293

Download

1166

Sum=1459

Mar 26, 2023 (publication date) through Mar 1, 2026

Times Cited of This Article

Times Cited (2)

Journal Information of This Article

Publication Name

World Journal of Clinical Cases

ISSN

2307-8960

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

- Full Article with Cover (PDF)
- Full Article (XML)

Case Report

World J Clin Cases. Mar 26, 2023; 11(9): 2060-2066
Published online Mar 26, 2023. doi: 10.12998/wjcc.v11.i9.2060

Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report

Chien-Cheng Lai, Hsu-Wei Fang, Chih-Hung Chang, Jwo-Luen Pao, Chun-Chien Chang, Yeong-Jang Chen

Chien-Cheng Lai, Chih-Hung Chang, Jwo-Luen Pao, Chun-Chien Chang, Department of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan

Chien-Cheng Lai, Hsu-Wei Fang, Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei 106, Taiwan

Chih-Hung Chang, Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan 320, Taiwan

Yeong-Jang Chen, Department of Orthopedics, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City 243, Taiwan

Author contributions: Lai CC contributed to data acquisition, measurements, and analysis and was involved in the conception and design of the study; Fang HW, Chang CH, Pao JL, Chang CC, and Chen YJ performed data acquisition, measurements, and analysis and were involved in the conception and design of the study; Chen YJ performed the surgery; all authors reviewed the draft manuscript and approved the final version.

Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Yeong-Jang Chen, MD, Surgeon, Department of Orthopedics, Fu Jen Catholic University Hospital, Fu Jen Catholic University, No. 69 Guizi Road, Taishan District, New Taipei City 243, Taiwan. yjchen71@gmail.com

Received: December 2, 2022
Peer-review started: December 2, 2022
First decision: February 2, 2023
Revised: February 10, 2023
Accepted: February 27, 2023
Article in press: February 27, 2023
Published online: March 26, 2023
Processing time: 105 Days and 7.1 Hours

Abstract

BACKGROUND

Isolated capitate fractures are rare carpal fractures. Following high-energy injuries, capitate fractures are usually associated with other carpal fractures or ligament injuries. The management of capitate fractures depends on the fracture pattern. Here, we report an unusual capitate fracture with a dorsal shearing pattern and concomitant carpometacarpal dislocation, with a 6-year follow-up. To the best of our knowledge, this fracture pattern and surgical management have not been previously reported.

CASE SUMMARY

A 28-year-old man presented with left-hand volar tenderness and decreased grip strength that persisted for one month after a traffic accident. Radiography showed a distal capitate fracture with carpometacarpal joint incongruence. Computed tomography (CT) revealed a distal capitate fracture with carpometacarpal joint dislocation. The distal fragment was rotated by 90° in the sagittal plane, and an oblique shearing fracture pattern was noted. Open reduction and internal fixation (ORIF) with a locking plate were performed using the dorsal approach. The imaging studies performed 3 mo and 6 years following surgery revealed a healed fracture, and the Disabilities of the Arm, Shoulder, and Hand and visual analog scale scores were significantly improved.

CONCLUSION

CT can detect capitate fractures with dorsal shearing pattern and concomitant carpometacarpal dislocation. ORIF using a locking plate are possible.

Keywords: Isolated capitate fracture; Carpometacarpal dislocation; Dorsal intercarpal ligament; Case report

Core Tip: Isolated capitate fractures with distal fragment rotated by 90° in the sagittal plane, dorsal shearing pattern and concomitant carpometacarpal dislocation have not been previously reported. Open reduction and internal fixation with a locking plate using the dorsal approach are possible. Long term radiological and clinical outcomes, including the Disabilities of the Arm, Shoulder, and Hand and visual analog scale scores were improved significantly.