Pearls

• Frequently associated with injuries to surrounding ligaments and other bones.
• Initial X-rays are often negative, therefore consider CT if high clinical suspicion.
• A fracture of both the scaphoid and the capitate with 180° rotation of the capitate (Scaphocapitate syndrome), requires surgery.

Complications

Scaphocapitate syndrome is a fracture of both the scaphoid and capitate, with associated rotation of the capitate head 90° to 180°. It requires surgery to treat.