A unique case of bilateral trans-scaphoid perilunate dislocation with dislocation of lunate into the forearm

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Bilateral Trans-Scaphoid Perilunate Fracture Dislocation

The wrist represents a complex anatomic region in the human extremity and a highly functional and intricate structural joint. Most perilunate injuries result from a staged disruption of the ligamentous structures. Forces may be directed through the carpal bones themselves resulting in a fracture. Early anatomic reduction of any carpal malalignment is of the utmost importance. Unfortunately, eve...

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Trans-scaphoid and trans-capitate perilunate fracture-dislocation of the wrist with concomitant ipsilateral fractures: a case report

AbsractAll perilunate fracture-dislocations combine bone avulsions, ligament disruptionand fractures in different forms. The most frequent pattern is the dorsal transscaphoidperilunate fracture-dislocation. The reported risk of missed initial diagnosisin perilunate dislocations is as high as 20%. Concerning pathomechanics of theperilunate fracture-dislocation, it should be noted that most dorsa...

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Trans-scaphoid perilunate fracture dislocation: 'notjust a scaphoid fracture'.

Rowan CH, Downing ND. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221041 Description Perilunate dislocations are uncommon high-energy injuries which are missed in approximately 25% of cases on initial presentation. We present the X-rays of a 25-year-old man who fell from a height of approximately 2 metres onto an extended wrist. Plain radiographs (figure 1) show classical signs of a trans-scaphoid ...

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Trans-radial styloid, trans-scaphoid, trans-triquetral perilunate dislocation.

A rare case of trans-radial styloid, trans-scaphoid, trans-triquetral perilunate dislocation is described. The injury was treated by reduction and internal fixation using a Herbert screw and Kirschner wire. A good functional result was achieved. A review of the literature illustrates that early surgery is recommended. Alternative surgical approaches are discussed.

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[Palmar scaphoid dislocation associated with dorsal perilunate dislocation. A case report and review of the literature].

Most carpal dislocations occur in the lunate bone or around it (perilunate). An isolated dislocation of the carpal scaphoid is a rare injury. We report a case of a palmar scaphoid dislocation combined with a dorsal perilunate dislocation, which was treated with open reduction, fixed with two Kirschner wires and ligament repair, with a good result.

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ژورنال

عنوان ژورنال: Journal of Clinical Orthopaedics and Trauma

سال: 2016

ISSN: 0976-5662

DOI: 10.1016/j.jcot.2016.04.003