Arthroscopic Treatment of Capitate Nonunion: A New Technique

Author:

de Villeneuve Bargemon Jean-Baptiste1ORCID,Jaloux Charlotte1,Levet Paul1,Levadoux Michel2

Affiliation:

1. Department of Hand Surgery and Limb Reconstructive Surgery, La Timone Adultes Hospital, Aix Marseille University, Marseille, France

2. Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, France

Abstract

AbstractIsolated fractures of the capitate are very rare which means that their nonunion is even rarer. Repair techniques have always been performed by open surgery which may result in loss of mobility due to the capsulotomy. The typically used surgical techniques such as arthrodesis of the carpal or wrist bones can have irreversible consequences on range of motion. No arthroscopic technique has ever been described for this condition. Here, we describe a case of isolated capitate nonunion without ligament tears or other carpal fractures in a 21-year-old male, following a capitate fracture 10 years prior. We describe our arthroscopic treatment technique for this capitate nonunion.

Publisher

Georg Thieme Verlag KG

Subject

Orthopedics and Sports Medicine,Surgery

Reference17 articles.

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2. Isolated capitate fracture with dorsal dislocation of proximal pole: a case report;D Sabat;Hand (N Y),2011

3. Complex and rare fracture patterns in perilunate dislocations;J G Apostolides;Hand (N Y),2011

4. Capitate fractures: a review of 53 patients;A Kadar;J Hand Surg Am,2016

5. The vascularity of the wrist. Identification of arterial patterns at risk;R H Gelberman;Clin Orthop Relat Res,1986

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