Transstyloid perilunate carpal dislocation

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Perilunate dislocation and perilunate fracture-dislocation.

Perilunate dislocations and perilunate fracture-dislocations usually result from high-energy traumatic injuries to the wrist and are associated with a characteristic spectrum of bony and ligamentous damage. Radiographic evaluation of the wrist reveals loss of normal radiocarpal and intercarpal colinearity and bony insult, which may be overlooked at the initial presentation. Prompt recognition i...

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Perilunate Dislocation

Figure 1. Radiograph demonstration of a perilunate dislocation: The lunate maintains its normal articulation with the radius, whereas the capitated articular surface is dislocated from the lunate dorsally. Figure 2. Diagrammatic representation of the 3 carpal arcs of Gilula's lines. The first arc is a smooth curve outlining the proximal convexities of the scaphoid, lunate, and triquetrum. The s...

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Transscaphoid perilunate dislocation

A 24-year-old male presented to the ED after a fall of approximately 25 feet from a rooftop. As he landed, he attempted to break his fall with an outstretched hand. His injuries were limited to right-sided acetabular and pubic rami fractures, and the wrist fracture-dislocation shown here (Figs. 1, 2, 3, 4). Perilunate dislocations are often accompanied by scaphoid fractures due to the stresses ...

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Trans-scaphoid Trans-lunotriquetral Perilunate Dislocation in a Patient with a Carpal Coalition

SUMMARY Congenital carpal coalitions are rare conditions that arise from a failure or an incomplete cavitation of a common cartilaginous precursor of the carpal bones between the fourth and eighth week of intrauterine life. The incidence of coalitions has been estimated to occur in about 0.1% of the population and up to 1.6% in people of African descent. This study reports a case of trans-scaph...

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Perilunate fracture-dislocation: a continually missed injury.

Five cases of perilunate fracture-dislocation are presented in which the radiological appearances were typical but the diagnoses were initially missed. A simple systematic method of x ray analysis is described.

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ژورنال

عنوان ژورنال: Acta Orthopaedica Scandinavica

سال: 1991

ISSN: 0001-6470

DOI: 10.3109/17453679108994482