# Peri-Trapezium Peri-Trapezoid Trans-scaphoid Open Fracture Dislocation of the Carpus: A Case Report

## TL;DR

This case report describes a rare and complex wrist injury involving a trans-scaphoid fracture dislocation and highlights the challenges in treatment and outcomes.

## Contribution

The paper presents a rare case with a unique injury mechanism and emphasizes the importance of patient expectations in managing such injuries.

## Key findings

- The injury involved an open trans-scaphoid axial fracture dislocation of the carpus.
- Timely treatment included irrigation, debridement, and fracture fixation.
- Poor clinical outcomes are common, even with optimal treatment.

## Abstract

The axial fracture dislocation of the carpal bones is a poorly understood injury. These injuries are often associated with nerve injuries, soft tissue injuries, and amputations. An optimal treatment is not yet known. We present a rare case of an open trans-scaphoid axial fracture dislocation of the carpus, characterized by a unique mechanism of injury. The patient received timely treatment, including irrigation and debridement, as well as reduction and fixation of the carpal fracture dislocation. It is essential to understand that these injuries tend to result in poor clinical outcomes, even with optimal treatment. Therefore, engaging in meaningful discussions and setting realistic expectations with patients is imperative.