Limits...
Open reduction and internal fixation in a case with transscaphoid perilunate dislocation 8 months after the injury: a patient with a 5-year follow-up.

Mir BA, Dhar SA, Mir MR, Butt MF, Sultan A, Dar TA, Wani MI - Strategies Trauma Limb Reconstr (2008)

Bottom Line: The management of perilunate dislocations diagnosed later than three months continue to elicit debate with literature being scarce.We report a 22-year-old male with transscaphoid perilunate dislocation who reported to our hospital 8 months after sustaining the injury.Open reduction was done along with bone grafting.

View Article: PubMed Central - PubMed

Affiliation: Government Hospital for Bone and Joint Surgery, Barzullah, Srinagar, 190005, Kashmir, India.

ABSTRACT
The management of perilunate dislocations diagnosed later than three months continue to elicit debate with literature being scarce. We report a 22-year-old male with transscaphoid perilunate dislocation who reported to our hospital 8 months after sustaining the injury. Open reduction was done along with bone grafting. Five years after the surgery the patient is symptom-free with an excellent range of motion.

No MeSH data available.


Related in: MedlinePlus

Anteroposterior, oblique and lateral radiographs depicting the transscaphoid perilunate dislocation. The ulnar styloid is fractured instead of the common lunatotriquetral dissociation
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2553426&req=5

Fig1: Anteroposterior, oblique and lateral radiographs depicting the transscaphoid perilunate dislocation. The ulnar styloid is fractured instead of the common lunatotriquetral dissociation

Mentions: Palpation revealed tenderness over the space of Poirer. The wrist range of motion was globally restricted. The patient was advised radiographs in the anteroposterior, Oblique and lateral planes. Study of these radiographs showed that the patient had a transscaphoid perilunate dislocation of the carpi with the ulnar component being the fracture of the ulnar styloid (Fig. 1). The patient was informed about his pathology and advised to undergo surgery. The patient was operated upon using a combined dorsal and volar approach. The condition of the cartilage of the lunate and the scaphoid was surprisingly found to be good. The lunate was reduced after clearing its bed and the proximal scaphoid pole was provisionally fixed to the lunate with a k wire. The scaphoid fracture was cleared and a graft interposed between the two fragments to restore the height of the bone and to prevent hump-back deformity. The reduction was held with a k wire inserted from the distal pole (Fig. 2). The capsule was repaired meticulously before closure of the skin. Postoperatively the wrist was immobilized in a sugar tong splint. Finger exercises were encouraged. Stitches were removed at 2 weeks and a plaster of Paris cast applied. At 4 weeks the k wire was removed under local anesthesia. The plaster cast was continued for 8 weeks when union was visible on radiographs. The patient was started on a range of motion exercises.


Open reduction and internal fixation in a case with transscaphoid perilunate dislocation 8 months after the injury: a patient with a 5-year follow-up.

Mir BA, Dhar SA, Mir MR, Butt MF, Sultan A, Dar TA, Wani MI - Strategies Trauma Limb Reconstr (2008)

Anteroposterior, oblique and lateral radiographs depicting the transscaphoid perilunate dislocation. The ulnar styloid is fractured instead of the common lunatotriquetral dissociation
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2553426&req=5

Fig1: Anteroposterior, oblique and lateral radiographs depicting the transscaphoid perilunate dislocation. The ulnar styloid is fractured instead of the common lunatotriquetral dissociation
Mentions: Palpation revealed tenderness over the space of Poirer. The wrist range of motion was globally restricted. The patient was advised radiographs in the anteroposterior, Oblique and lateral planes. Study of these radiographs showed that the patient had a transscaphoid perilunate dislocation of the carpi with the ulnar component being the fracture of the ulnar styloid (Fig. 1). The patient was informed about his pathology and advised to undergo surgery. The patient was operated upon using a combined dorsal and volar approach. The condition of the cartilage of the lunate and the scaphoid was surprisingly found to be good. The lunate was reduced after clearing its bed and the proximal scaphoid pole was provisionally fixed to the lunate with a k wire. The scaphoid fracture was cleared and a graft interposed between the two fragments to restore the height of the bone and to prevent hump-back deformity. The reduction was held with a k wire inserted from the distal pole (Fig. 2). The capsule was repaired meticulously before closure of the skin. Postoperatively the wrist was immobilized in a sugar tong splint. Finger exercises were encouraged. Stitches were removed at 2 weeks and a plaster of Paris cast applied. At 4 weeks the k wire was removed under local anesthesia. The plaster cast was continued for 8 weeks when union was visible on radiographs. The patient was started on a range of motion exercises.

Bottom Line: The management of perilunate dislocations diagnosed later than three months continue to elicit debate with literature being scarce.We report a 22-year-old male with transscaphoid perilunate dislocation who reported to our hospital 8 months after sustaining the injury.Open reduction was done along with bone grafting.

View Article: PubMed Central - PubMed

Affiliation: Government Hospital for Bone and Joint Surgery, Barzullah, Srinagar, 190005, Kashmir, India.

ABSTRACT
The management of perilunate dislocations diagnosed later than three months continue to elicit debate with literature being scarce. We report a 22-year-old male with transscaphoid perilunate dislocation who reported to our hospital 8 months after sustaining the injury. Open reduction was done along with bone grafting. Five years after the surgery the patient is symptom-free with an excellent range of motion.

No MeSH data available.


Related in: MedlinePlus