Trans-scaphoid perilunate dislocation

Re: Imao K, Tsubokawa N, Maki Y. Trans-scaphoid-perilunate dislocation with an ulnar nerve injury. J Hand Surg Eur. Epub ahead of print 12 May 2015. DOI: 10.1177/1753193415583951

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193415600106 ◽

2015 ◽

Vol 40 (8) ◽

pp. 876-877

Author(s):

S. Ozyurek ◽

A. Atik

Keyword(s):

Nerve Injury ◽

Ulnar Nerve ◽

Perilunate Dislocation ◽

Ulnar Nerve Injury

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A rare case of volar trans-scaphoid perilunate dislocation

Injury Extra ◽

10.1016/j.injury.2005.02.032 ◽

2005 ◽

Vol 36 (9) ◽

pp. 405-406 ◽

Cited By ~ 1

Author(s):

Mukesh Kalra ◽

Jagdish Menon ◽

Bharat Sharma

Keyword(s):

Rare Case ◽

Perilunate Dislocation

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Bilateral symmetrical trans-scaphoid perilunate dislocation–a rare injury

Journal of Clinical Orthopaedics and Trauma ◽

10.1016/s0976-5662(11)60038-6 ◽

2011 ◽

Vol 2 (1) ◽

pp. 51-53 ◽

Cited By ~ 1

Author(s):

Vikas Saxena ◽

Pavan Pradhan ◽

Ashok Yadav ◽

Vineet Mehrotra

Keyword(s):

Rare Injury ◽

Perilunate Dislocation

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Translunate, Transmetacarpal, Scapho-Radial Fracture with Perilunate Dislocation A Case Report

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681_85_80068-1 ◽

1985 ◽

Vol 10 (3) ◽

pp. 382-384

Author(s):

P. TOFT ◽

K. BERTHEUSSEN ◽

S. OTKJAER

Keyword(s):

Case Report ◽

Avascular Necrosis ◽

Closed Reduction ◽

Open Reduction ◽

X Rays ◽

Radial Fracture ◽

Perilunate Dislocation ◽

Carpal Fracture ◽

Fracture Dislocations

A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.

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Perilunate Dislocation: Case Report

Journal of Academic Emergency Medicine Case Reports ◽

10.5505/jaemcr.2013.60362 ◽

2013 ◽

Vol 4 (3) ◽

pp. 115-117

Author(s):

Ahmet Imerci ◽

Mahmut Tuzlu ◽

Huseyin Tamer Ursavas ◽

Muhammet Bozoglan ◽

Umut Canbek

Keyword(s):

Case Report ◽

Perilunate Dislocation

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Translunate, transmetacarpal, scaphoradial fracture with perilunate dislocation. A case report

Plastic & Reconstructive Surgery ◽

10.1097/00006534-199007000-00076 ◽

1990 ◽

Vol 86 (1) ◽

pp. 176

Author(s):

John C. Kelleher

Keyword(s):

Case Report ◽

Perilunate Dislocation

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Dorsal Spanning Plate for Perilunate Dislocations

Journal of Wrist Surgery ◽

10.1055/s-0041-1729634 ◽

2021 ◽

Author(s):

Duc M. Nguyen ◽

Allison L. Boden ◽

Megan K. Allen ◽

Tamara John ◽

Greg M. Knoll ◽

...

Keyword(s):

Plate Fixation ◽

Open Reduction Internal Fixation ◽

Minimal Change ◽

Inclusion Criteria ◽

Cast Immobilization ◽

Traditional Treatment ◽

Perilunate Dislocation ◽

Radiographic Outcomes ◽

Removal Of Hardware ◽

Relevant Variation

Abstract Purpose The purpose of this study was to compare radiographic outcomes in patients treated with the traditional method of open reduction, internal fixation (ORIF) and casting as compared with those treated with ORIF and dorsal spanning plate (DSP) fixation. We hypothesized that the application of a DSP to augment the repair of perilunate dislocations would maintain carpal stability while also allowing early loadbearing through the carpus. Materials and Methods This is a retrospective radiographic review of patients with a perilunate dislocation, who were treated with ORIF and casting or ORIF with a dorsal spanning plate between 2012–2018. Scapholunate (SL) and lunotriquetral (LT) intervals were measured immediately after the index surgery and after scheduled hardware removal. A total of 28 patients met inclusion criteria, including 13 cases with traditional treatment and 15 cases with dorsal spanning plate fixation. Results Comparison of the change in SL interval and LT interval between the 13 patients in the traditional treatment group and the 15 patients in the DSP group did not yield any clinically relevant variation after statistical analysis. Both groups demonstrated minimal change in the radiographic markers of carpal stability from postoperative radiographs obtained immediately after the index repair and after the removal of hardware. Conclusion DSP fixation placed at the index surgery with early loadbearing for the treatment of perilunate dislocation is not inferior to the current mainstay of treatment consisting of cast immobilization without loadbearing and does not confer any increased carpal instability in comparison to ORIF and casting.

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