Scapho-capitate syndrome: distant fragment migration.

The authors wish to report a case of scapho-capitate syndrome with distant migration of the head of the capitate, an injury previously undescribed in English literature. The head of the capitate in this case, was found to lie just proximal to the transverse carpal ligament, deep to the median nerve which was tented over it. It was retrieved and replaced in its anatomical location. Following fixation of both fractures, satisfactory stability was restored in the wrist. The patient was followed for a period of nine months, at the end of which, his wrist was non-tender with a functional range of motion.