Case report we report a unique case of bilateral trans-scaphoid perilunate dislocation in a 35-year-old male labourer this is the first reported case where the lunate dislocated into the forearm on the volar aspect. This study reports a case of trans-scaphoid trans-lunotriquetral perilunate dislocation with a lunotriquetral coalition and successful management with closed reduction, percutaneous fixation, and a thumb spica cast. Bilateral trans-scaphoid perilunate fracture dislocations are uncommon and have been rarely reported in the literature furthermore, it is more difficult to manage in the case of fenton's syndrome (scaphocapitate fracture syndrome, trans-scaphoid trans-capitate fracture dislocation. Trans-scaphoid transcapitate (tstc) perilunate fracture-dislocation (plfd) is a rare type of perilunate injury because of the rarity and complexity of this entity, initial diagnosis may be delayed and the extent of osseous and ligamentous lesions underestimated. Perilunate dislocations are often associated with fractures of the scaphoid and radial styloid and less commonly with the capitate, triquetrum, and ulna styloid wrist radiographs with evidence of these fractures should be scrutinised carefully.
Perilunate fracture-dislocations are high-energy injuries, produced by wrist hyperextension3, 15 there is disruption of the palmar capsuloligamentous complex, starting radially and propagating through the carpus in an ulnar direction3, 15 this dislocation takes a transosseous route through the scaphoid resulting in a trans-scaphoid. Early treatment of perilunate injuries is necessary to prevent the devastating complications of chronic carpal instability and lessen the chance of eventual posttraumatic arthrosis associated from missed or inappropriately treated injuries 5 x 5 herzberg, g and forissier, d acute dorsal trans-scaphoid perilunate fracture-dislocations: medium. Perilunate dislocations, perilunate fracture-dislocations (plfds), and lunate dislocations are high-energy wrist injuries that can and should be recognized on radio-graphs these injuries are a result of important sequential osseous and ligamentous injuries or failures. Perilunate and lunate dislocations represent the final stages of midcarpal ligament disruption much like the scapholunate and triquetrolunate injuries, these injuries are also the result of forceful dorsiflexion and impact on the outstretched hand, but usually with much greater force, such as a fall from a height or impact from a motor vehicle accident.
Trans-scaphoid perilunate fracture dislocations are the most commonly described perilunate fracture dislocations our case report describes an unusual trans-scaphoid perilunate fracture dislocation with complete disruption of both the sl ligament and scaphoid. Chart and diagram slides for powerpoint - beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects our new crystalgraphics chart and diagram slides for powerpoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Trans-scaphoid perilunate dislocation usually # in mid to outer with lateral end pulled downwards by carpal fractures and dislocations is the property of. Trans-radial perilunate dislocations 2575 int j clin exp med 20169(2):2573-2578 nate ligament should be paid more attention to in trans-radial styloid perilunate dislocations. Perilunate dislocation with fracture of scaphoid and ulnar styloid processthe volar tip of lunate is also broken (see circle) same case with the lateral view also shown now we see that there definitely is a perilunate dislocation.
Perilunate dislocations the most frequent dislocations about the wrist involve the joints around the lunate wrist bone, and are called perilunate dislocations in a perilunate dislocation, the ligament disruption occurs sequentially. Trans-scaphoid perilunate fracture-dislocation respectively, while 71 and 7111 in non-surgically treated group respectively wrist range of motion was also more favorable in operative group (55 degrees flexion - 54 degrees extension for trans. A unique case of bilateral trans-scaphoid perilunate dislocation with dislocation of lunate into the forearm complex and rare fracture patterns in perilunate dislocations novel presentation of uncommon wrist injury: simultaneous lunate and perilunate fracture dislocation (scapho-capitate syndrome) of both wrists. Perilunate dislocation and perilunate fracture-dislocation abstract perilunate dislocations and perilunate fracture-dislocations usually result from high-energy traumatic injuries to the wrist and are.
Perilunate injuries 116 journal of the american academy of orthopaedic surgeons missed diagnosis true lateral and posteroanterior (pa) or anteroposte-rior (ap) radiographs are man. Left scaphoid wrist fracture, with perilunate dislocation icd-10-cm s62002a is grouped within diagnostic related group(s) (ms-drg v 360): 562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc. Scapho-capitate fracture syndrome 187 showed nonunion of the scaphoid, avascular necro-sis of the scaphoid and the lunate and carpal col-lapse with midcarpal joint arthritis.
Ap and lateral radiographs of the wrist are shown in figures a and b respectively chronic trans-scaphoid perilunate fracture - lunate dislocation (perilunate. Like other dislocations, the perilunate dislocation is an emergency and should be reduced as soon as possible this may be performed in the emergency department (ed), with delay of the definitive procedure, as any fracture associated with perilunate dislocations typically requires stabilization with small compression screws or percutaneous pins. Peri-lunate dislocations • mayfield 1 and 2 are disi injury without dislocation • mayfield classification grade 3 - tear of scapho-lunate, luno-capitate and luno. Scaphoid fractures are divided into type a, stable acute (fracture of the tubercle or incomplete waist), type b, unstable acute (distal oblique, complete waist, proximal pole fracture or trans-scaphoid perilunate dislocation of the carpus), type c, delayed union.
Fig 2 a trans-scaphoid avulsion fracture dislocation with migration of proximal scaphoid fragment, ap view b trans-scaphoid perilunate avul- sion fracture dislocation with migration of proximal scaphoid fragment. (a-e) a 22-year-old man suffered transscaphoid perilunate fracture dislocation of the wrist the wrist was reduced in the emergency department and was well aligned with the exception of the scaphoid. Trans-scaphoid perilunate fractures-dislocations are rare lesions they occur in a high-energy trauma the concomitent lesion of both wrists is exceptional we report a case of bilateral trans-scaphoid perilunate dislocated wrist fracture in a 21-year-old man the dislocation was treated by opened.
Fractures and dislocations of the carpal bones are more common in carpal fractures and perilunate injuries and 3d (b) ct images show a displaced trans-verse. Transscaphoid perilunate fracture dislocation is a rare injury and can be easily missed at the initial treatment once ignored, late reduction is not possible and needs extensive dissection an alternative treatment such as proximal row carpectomy may be required for neglected injuries, but surgical.