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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2023; 11(9): 2060-2066
Published online Mar 26, 2023. doi: 10.12998/wjcc.v11.i9.2060
Published online Mar 26, 2023. doi: 10.12998/wjcc.v11.i9.2060
Unusual capitate fracture with dorsal shearing pattern and concomitant carpometacarpal dislocation with a 6-year follow-up: A case report
Chien-Cheng Lai, Chih-Hung Chang, Jwo-Luen Pao, Chun-Chien Chang, Department of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan
Chien-Cheng Lai, Hsu-Wei Fang, Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei 106, Taiwan
Chih-Hung Chang, Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan 320, Taiwan
Yeong-Jang Chen, Department of Orthopedics, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City 243, Taiwan
Author contributions: Lai CC contributed to data acquisition, measurements, and analysis and was involved in the conception and design of the study; Fang HW, Chang CH, Pao JL, Chang CC, and Chen YJ performed data acquisition, measurements, and analysis and were involved in the conception and design of the study; Chen YJ performed the surgery; all authors reviewed the draft manuscript and approved the final version.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yeong-Jang Chen, MD, Surgeon, Department of Orthopedics, Fu Jen Catholic University Hospital, Fu Jen Catholic University, No. 69 Guizi Road, Taishan District, New Taipei City 243, Taiwan. yjchen71@gmail.com
Received: December 2, 2022
Peer-review started: December 2, 2022
First decision: February 2, 2023
Revised: February 10, 2023
Accepted: February 27, 2023
Article in press: February 27, 2023
Published online: March 26, 2023
Peer-review started: December 2, 2022
First decision: February 2, 2023
Revised: February 10, 2023
Accepted: February 27, 2023
Article in press: February 27, 2023
Published online: March 26, 2023
Core Tip
Core Tip: Isolated capitate fractures with distal fragment rotated by 90° in the sagittal plane, dorsal shearing pattern and concomitant carpometacarpal dislocation have not been previously reported. Open reduction and internal fixation with a locking plate using the dorsal approach are possible. Long term radiological and clinical outcomes, including the Disabilities of the Arm, Shoulder, and Hand and visual analog scale scores were improved significantly.