*Correspondence to: Maximilian Heitmannn, Department of Trauma and Hand Surgery, Helios Klinikum Berlin Buch, Medical School Berlin, Schwanebecker Chaussee, Berlin, Germany
Citation: Heitmannn M (2025) Scaphocapitate Syndrome: Is Capitate Plating a Viable Stabilization Option? J Anatomical Variation and Clinical Case Report 2:115. DOI: https://doi.org/10.61309/javccr.1000115
Copyright: ©2025 Heitmannn M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
ABSTRACT
Scaphocapitate syndrome is a rare wrist injury involving fractures and rotational dislocation of the capitate and scaphoid bones, leading to instability. It represents a greater arc injury, often with associated ligamentous damage, such as lunotriquetral ligament injury, further complicating stability. Treatment remains controversial, ranging from conservative management to surgical fixation. This report describes a 55-year-old female with persistent wrist pain after a fall. Imaging revealed minimally displaced fractures of the capitate and scaphoid. Surgical treatment included screw fixation of the scaphoid and plating of the capitate with an angular stable scaphoid plate. Postoperative outcomes were excellent, with unrestricted wrist function by three months and full fracture healing by six months. This case highlights angular stable scaphoid plating as a viable option for capitate fractures and underscores the importance of individualized treatment planning.
Keywords: Scaphocapitate syndrome; Scaphoid fracture; Capitate fracture; Greater arc injury; Scaphoid plate
Figure 1: A-D: X-ray, coronal, and sagittal CT slices showing a minimally displaced scaphoid fracture and a 2 mm displaced capitate fracture.
E-O: Intraoperative fluoroscopic images and photographs demonstrating the procedure, beginning with percutaneous retrograde screw fixation of the scaphoid (E, F), followed by reduction of the capitate fracture (G, H), positioning of the scaphoid plate on the capitate (I), and fixation of the plate (J), with final fluoroscopic documentation in various projections (K-N). Postoperative X-ray (O).