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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(01): 066-073
DOI: 10.1055/s-0041-1730000
Case Report | Caso Clínico

Fenton Syndrome: Diagnosis and Treatment with 3D-Printed Models. An Unusual Case Report

Article in several languages: English | español
José Luis Muñoz Sánchez
1   Orthopedic Surgery and Traumatology Department, Hospital General Universitario Ciudad Real, Ciudad Real, Spain
,
Vladimir Jorge Carrasco
1   Orthopedic Surgery and Traumatology Department, Hospital General Universitario Ciudad Real, Ciudad Real, Spain
,
Pedro Zorrilla Ribot
1   Orthopedic Surgery and Traumatology Department, Hospital General Universitario Ciudad Real, Ciudad Real, Spain
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Abstract

Scaphocapitate syndrome, also called Fenton syndrome, is a rare, complex condition. Since it is often missed on initial evaluation, it is a diagnostic challenge. A high index of suspicion is required for early surgical treatment, avoiding future palliative surgery or sequelae. Cutting-edge diagnostic technologies, including three-dimensional printed models, are becoming essential tools, enabling the treatment of complex trans-scaphocapitate fracture-dislocations using open reduction and internal fixation with screws, with excellent outcomes at a 12-month follow-up period.

Keywords

Fenton syndrome - scaphocapitate - trans-scapholunate - carpus - fracture - dislocation


Publication History

Received: 30 June 2020

Accepted: 21 December 2020

Article published online:
02 July 2021

© 2021. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Muppavarapu RC, Capo JT. Perilunate Dislocations and Fracture Dislocations. Hand Clin 2015; 31 (03) 399-408
    CrossrefPubMedGoogle Scholar
  • 2 Perves J, Rigaud A, Badelon L. Fracture par décapitation du grand os avec déplacement dorsal du corps de los stimulant une dislocation carpienne. Chir Main 1937; 24: 251-253
    PubMedGoogle Scholar
  • 3 Fenton RL. The naviculo-capitate fracture syndrome. J Bone Joint Surg Am 1956; 38-A (03) 681-684
    CrossrefPubMedGoogle Scholar
  • 4 Vance RM, Gelberman RH, Evans EF. Scaphocapitate fractures. Patterns of dislocation, mechanisms of injury, and preliminary results of treatment. J Bone Joint Surg Am 1980; 62 (02) 271-276
    CrossrefPubMedGoogle Scholar
  • 5 Jones GB. An unusual fracture-dislocation of the carpus. J Bone Joint Surg Br 1955; 37-B (01) 146-147
    CrossrefPubMedGoogle Scholar
  • 6 Stein F, Siegel MW. Naviculocapitate fracture syndrome. A case report: new thoughts on the mechansim of injury. J Bone Joint Surg Am 1969; 51 (02) 391-395
    CrossrefPubMedGoogle Scholar
  • 7 Green D, Hotchkiss R, Pederson W. Carpal instabilities and dislocations. In: Green's Operative Hand Surgery. Vol 1. 4th ed.. 1999: 914
    Google Scholar
  • 8 Kim JP, Lee JS, Park MJ. Arthroscopic treatment of perilunate dislocations and fracture dislocations. J Wrist Surg 2015; 4 (02) 81-87
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Kumar A, Thomas AP. Scapho-capitate fracture syndrome. A case report. Acta Orthop Belg 2001; 67 (02) 185-189
    PubMedGoogle Scholar
  • 10 Marcuzzi A, Ozben H, Russomando A, Petit A. Chronic transscaphoid, transcapitate perilunate fracture dislocation of the wrist: Fenton's syndrome. Chir Main 2013; 32 (02) 100-103
    CrossrefPubMedGoogle Scholar