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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 1 Review of previous patients with divergent dislocation of the scaphoid and lunate

From: Palmar-divergent dislocation of the scaphoid and the lunate

Author

Follow-up (months)

Surgical procedure

Approach

Immobilization (duration)

K-wire removal

Range of motion

Complications

Campbell [2]

12

Only open reduction

Palmar

Cast

NR

Ext 1/2

Flex 1/3 of healthy side

None

Gordon [1]

12

Only open reduction

Palmar

Cast

4 weeks

Ext 15°

Flex 25°

DISI

Kupfer [3]

42

Open reduction K-wire pinning (S-L)

Palmar & dorsal

Cast

4 months

4 months

Ext 25°

Flex 0°

CRPS DISI AN (scaphoid, lunate)

Baulot [5]

42

Open reduction Anterior capsule suture

Palmar

Cast

6 weeks

 

Almost full

DISI

Kang [4]

18

Open reduction K-wire pinning (S-L/S-C)

Palmar

Cast

6 weeks

6 weeks

Almost full

None

Domeshek [6]

1

Proximal row carpectomy

Palmar & dorsal

Splint

1 month

NR

NR

  1. AN avascular necrosis, NR not recorded, K-wire Kirschner wire, S scaphoid, L lunate, T triquetrum, C capitate, DISI dorsal intercalated segment instability, CRPS complex regional pain syndrome, Ext extension, Flex flexion