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http://dx.doi.org/10.2106/00004623-200309000-00023DOI Listing

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Article Synopsis
  • Perilunate dislocation is a rare wrist injury often caused by excessive loading on a hyperextended and ulnar-deviated wrist, leading to potential ligament damage and displacement of the lunate bone.
  • A unique case of a 38-year-old construction worker with a trans-styloid, trans-scaphoid perilunate fracture dislocation and accompanying carpal tunnel syndrome was documented, marking an unusual presentation not previously reported.
  • Treatment involved open reduction and ligament repair to preserve hand function, along with carpal tunnel release due to the symptomatic nerve compression.
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Introduction: Translunate volar perilunate dislocations are extremely rare, with few documented cases. Only eight instances of volar translunate perilunate dislocation have been described in the literature. This report presents a successfully treated case using early reduction and internal fixation that led to a very satisfying outcome at 9 months follow-up.

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Perilunate fracture dislocation with an elbow dislocation, it is referred to as a floating forearm. Very few cases have been described worldwide. We report a case of a 37-year-old man diagnosed with a floating forearm (trans-scaphoid perilunate fracture dislocation combined with a terrible triad injury), after a fall of the top of an olive tree.

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Introduction: Perilunate dislocations and perilunate fracture-dislocations (PLFD) are relatively uncommon injuries, comprising <10% of wrist injuries. Perilunate injuries are often complicated by median neuropathy reported in 23-45% of cases, whereas there are very few reported cases of associated ulnar neuropathy. Combined greater arc and inferior arc injuries are also rare.

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Perilunate dislocations and fracture-dislocations are considered rare injuries. Perilunate injuries are frequently missed during primary evaluations. We report a case of a 37-year-old male presenting with an open perilunate fracture-dislocation a few days after experiencing trauma.

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