{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T20:25:57Z","timestamp":1767903957843,"version":"3.49.0"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Severe or minor repetitive trauma, inflammation, infection, tumors, and congenital ligamentous laxity have been etiologically implicated in scapholunate dissociation (SLD). While a few cases of patients with asymptomatic SLD have been reported in the literature, despite radiographically demonstrated widened scapholunate angles and rotatory subluxation of the scaphoid bone, these patients experienced only mild or no pain and no dorsal intercalated segment instability deformity. Here, we report the case of a monolateral non-traumatic SLD in a young 10-year-old girl that led to an important range of motion impairment with no wrist pain. The case represents a rarity for no previous history of trauma, young age, and no pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main symptoms and important clinical findings<\/jats:title><jats:p>In our patient, an examination revealed a reduced range of motion in the left wrist and no pain during passive or active mobilization. The X-ray showed a 16\u2005mm scapholunate gap in the anteroposterior roentgenogram. In this case, we suggested that congenital or developmental ligamentous laxity may be the cause of SLD. The diagnostic assessment was completed with a wrist MRI and CT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Therapeutic interventions and outcomes<\/jats:title><jats:p>The patient underwent an open dorsal surgery: we directly reduced the dislocated bones and fixed them with five percutaneous 1\u2005mm k-wires. Finally, the scapholunate ligaments were repaired using bone-absorbable anchor sutures. The wrist was immobilized in a volar cast for 8 weeks. The patient was able to resume her daily life activities (included sport) within 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Carpus injuries are rare in children, and treatment, especially for young-age patients, is fraught with risks and remains controversial. Our case demonstrates that the patient has had a good clinical outcome. The physio-rehabilitation program for this patient has been of long duration. Most previous studies have shown excellent clinical results after an average of 2.4 years.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.917555","type":"journal-article","created":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T09:32:38Z","timestamp":1662024758000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Non-traumatic scapholunate dissociation in a 10-year-old female: A case report"],"prefix":"10.3389","volume":"9","author":[{"given":"Diletta","family":"Bandinelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Pagnotta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edoardo Maria","family":"Pieracci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Basiglini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo Gabriele","family":"Aulisa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,9,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.7812\/TPP\/18-237","article-title":"Image diagnosis: scapholunate dissociation","volume":"23","author":"Stevenson","year":"2019","journal-title":"Perm J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1053\/jhsu.1999.0456","article-title":"The dorsal ligaments of the wrist: anatomy, mechanical properties and function","volume":"24","author":"Viegas","year":"1999","journal-title":"J Hand Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1672","DOI":"10.1097\/01.prs.0000187138.31451.79","article-title":"Chronic asymptomatic contralateral wrist scapholunate dissociation","volume":"116","author":"Gharbaoui","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/0363-5023(91)90022-4","article-title":"Scapho-lunate distance and cortical ring sign","volume":"16","author":"Cautilli","year":"1991","journal-title":"J Hand Surg"},{"key":"B5","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/01241398-200107000-00010","article-title":"Normal ranges of scapholunate distance in children 6 to 14 years old","volume":"21","author":"Kaawach","year":"2001","journal-title":"J Pediatr Orthop"},{"key":"B6","doi-asserted-by":"publisher","first-page":"225","DOI":"10.2519\/jospt.2018.7774","article-title":"Scapholunate dissociation","volume":"48","author":"Tomas","year":"2018","journal-title":"J Orthop Sports Phys Ther"},{"key":"B7","first-page":"178","article-title":"Chronic bilateral scapholunate dissociation without symptoms","volume":"79","author":"Vance","year":"1978","journal-title":"J Hand Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"106530","DOI":"10.1016\/j.ijscr.2021.106530","article-title":"Bilateral traumatic scapholunate dissociation: case report","volume":"88","author":"Alyamani","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"B9","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/s0363-5023(79)80138-0","article-title":"Scapholunate dissociation in a child: a case report with modified extra-osseous reconstruction technique","volume":"1","author":"Ved","year":"2015","journal-title":"Int J Orthop Sci"},{"key":"B10","doi-asserted-by":"publisher","first-page":"222180","DOI":"10.1136\/bcr-2017-222180","article-title":"A rare case of an acute lunate dislocation in a child","author":"Khan","year":"2017","journal-title":"BMJ Case Rep"},{"key":"B11","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1097\/01202412-200409000-00008","article-title":"Injuries of the scapholunate ligament in children","volume":"13","author":"Volker","year":"2004","journal-title":"J Pediatr Orthop B"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.917555\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T09:32:43Z","timestamp":1662024763000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.917555\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,1]]},"references-count":11,"alternative-id":["10.3389\/fsurg.2022.917555"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.917555","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,1]]},"article-number":"917555"}}