Severely displaced scaphoid fracture treated by arthroscopic assisted reduction and osteosynthesis

The severely displaced scaphoid fracture, when combined with a scapholunate dissociation, is a very rare condition that commonly is treated by open su rgery. The authors present a case treated by arthroscopic-assisted closed r eduction, using percutaneous pinning For the scapholunate dissociation and a Herbert/Whipple screw insertion for the scaphoid fracture. The patient wa s able to return to work four months after surgery, At twenty-seven months after surgery, both the patient's grip power and range of motion in the wri st were acceptable. The authors recommend this procedure as a minimally inv asive operation.