J Wrist Surg 2018; 07(05): 419-423
DOI: 10.1055/s-0038-1651487
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Isolated Capitate Nonunion: A Case Series and Literature Review

Rishabh G. Jethanandani
1   Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York
,
Schneider K. Rancy
1   Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York
,
Keith T. Corpus
1   Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York
,
Jeffrey Yao
2   Robert A. Chase Hand and Upper Limb Center, Stanford University Medical Center, Redwood City, California
,
Scott W. Wolfe
1   Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York
3   Weill Medical College of Cornell University and New York-Presbyterian Hospital, New York, New York
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Publikationsverlauf

09. Januar 2018

09. April 2018

Publikationsdatum:
23. Mai 2018 (online)

Abstract

Background Isolated capitate nonunion is rare. No consensus on the appropriate treatment for this condition exists.

Case Description We reported two cases of capitate fracture nonunion presenting several months after untreated high-impact wrist trauma. Treatment was delayed as both patients' nonunions were missed on conventional radiographs. Both were ultimately diagnosed with advanced imaging and successfully treated with internal fixation and autogenous bone grafting. The relevant literature pertaining to capitate nonunion was reviewed.

Literature Review Immobilization and internal fixation with bone grafting for capitate nonunion have been described in the literature. Loss of vascular supply and progression to avascular necrosis is a concern after capitate nonunion.

Clinical Relevance We present two cases and review the literature on the diagnosis and treatment of this rare injury to guide management. Internal fixation with autogenous bone grafting could play a role in management for this rare condition.

Note

This investigation was performed at Hospital for Special Surgery and Stanford University Medical Center.