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

Musculoskelet Surg. 2012 Dec;96(3):223-6. doi: 10.1007/s12306-011-0108-9. Epub 2011 Mar 4.

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidental Falls
  • Bone Wires
  • Casts, Surgical
  • Emergencies
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / etiology
  • Fractures, Bone / physiopathology
  • Fractures, Bone / surgery*
  • Hand Strength
  • Humans
  • Immobilization
  • Joint Capsule / injuries
  • Joint Capsule / surgery
  • Ligaments / injuries
  • Ligaments / surgery
  • Male
  • Postoperative Care
  • Range of Motion, Articular
  • Recovery of Function
  • Tomography, X-Ray Computed
  • Wrist Injuries / diagnostic imaging
  • Wrist Injuries / physiopathology
  • Wrist Injuries / surgery*
  • Wrist Joint / diagnostic imaging
  • Wrist Joint / surgery*
  • Young Adult