Perilunate dislocations.
نویسندگان
چکیده
THE PATIENT A 37-year-old man injured his right wrist in a motor vehicle collision. In the emergency department he had severe wrist pain and median nerve paresthesia. Wrist radiographs identified a dorsal perilunate dislocation (PLD) with the carpus dislocated dorsally and the lunate tilted volar but still located in the lunate fossa. Post-reduction computed tomography scan confirmed no fractures.
منابع مشابه
Trans-Scaphoid Perilunate Fracture-Dislocation and Isolated Perilunate Dislocations; Surgical Versus Non Surgical Treatment
Background: Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduc tion and internal fixation or closed reduction and casting. Methods: To compare surgical versus non-operative results of treatment of trans-scaphoid pe...
متن کاملClosed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up
Background: The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) andtransscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without ligament repairor reconstruction.Methods: A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorougha volar app...
متن کاملVolar Perilunate Dislocation: A Case Report and Review of the Literature
Perilunate dislocations, lunate dislocations and perilunate fracture dislocations are rare injuries comprising of less than 10% of all wrist injuries. Volar peri-lunate dislocations (VPLDs) account for less than 3% of perilunate dislocations. These severe carpal injuries occur after high-energy trauma to the wrist and falls on the outstretched hand. We present a case of a missed VPLD who develo...
متن کاملTrans-scaphoid perilunate fracture-dislocation and isolated perilunate dislocations; surgical versus non surgical treatment.
BACKGROUND Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduction and internal fixation or closed reduction and casting. METHODS To compare surgical versus non-operative results of treatment after trans-scaphoid peri...
متن کاملTrans-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...
متن کاملImage diagnosis: Perilunate and lunate dislocations.
Perilunate Dislocation Anterior-posterior (AP) view (Figure 1) demonstrates the distal and proximal carpal rows overlapping, as well as a complete radial styloid fracture. Lateral view (Figures 2 and 3) demonstrates dorsal dislocation of the capitate, whereas the lunate remains articulated with the radius. More often seen in young men in their teens to twenties, rather than children or the elde...
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ورودعنوان ژورنال:
- The Journal of hand surgery
دوره 40 2 شماره
صفحات -
تاریخ انتشار 2015