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.

OBJECTIVE In this study, eighteen patients who have had perilunate injury with dislocation or fracture, were evaluated and the patho-mechanics and surgical treatment were studied. SUBJECTS AND METHODS According to the Green and O'Brien's classification, type 1 injury occurred in one patient, type 2 in nine, type 4A in five, type 4C in one and type 4D in one. The other one case could not be cl...

DOI: 10.3760/cma.j.issn.1008-1275.2011.01.001 Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, 5000 Monastir, Tunisia (Hamdi MF) Corresponding author: Tel: 216-99-831-236 / 216-984 08 -3 86 , Fax: 21 6-73 -4 6 0-67 8, E m ai l: h am di. [email protected] 【Abstract】Volar perilunate fracture dislocation is an extremely rare carpal injury, but associated with metaca...

A case of bacterial endocarditis due to a highly resistant strain of Streptococcus faecalis is described. Although some measure of control of infection was obtained by a combined course of fucidic acid and penicillin the condition relapsed immediately the drugs were discontinued. Finally, the intravenous administration of penicillin in doses of 100 mega units daily for 3 months in conjunction w...

Carpal injuries are uncommon and are mainly seen in the younger age group. The incidence is unclear as many of the cases go undiagnosed. A 22-year-old male patient coming to the hospital after road traffic accidentwith head, face and left wrist injury. After immediate primary management the patient was taken up for a definitive procedure 4 days after the injury. Scaphoid fracture was fixed with...

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...

Perilunate and perilunate fracture dislocations are high-energy injuries with the wrist loaded in extension, ulnar deviation, and intercarpal supination. The force vector travels from a radial to a ulnar direction and can result in complex carpal instability. The diagnosis is often delayed, which can result in suboptimal outcomes. Nonoperative management can produce inferior results, with patie...

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...