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. He underwent repeated debridements, and provisional external fixator application followed by a definitive open reduction through a combined dual approach and internal fixation of scaphoid and capitate with headless screws. Aggressive physiotherapy exercises were started eight weeks after definitive fixation. After six years, the patient had a satisfactory outcome with an excellent Mayo wrist score. Perilunate injuries should be considered one of the important differential diagnoses in wrist injuries. Early diagnosis and treatment are of utmost importance to gain optimum outcomes. The best results could be achieved with open reduction and internal fixation through a combined volar and dorsal approach.
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Do perilunate dislocations and fracture-dislocations result in different radiological outcomes following wrist alignment reconstruction? A single-center retrospective study including 51 patients with perilunate injuries.
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Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Tübingen, Germany.
Introduction: Perilunate dislocations (PLD) and perilunate fracture-dislocations (PLFD) are high-energy wrist injuries often linked to significant post-traumatic osteoarthritis. This study aims to determine whether PLD and PLFD yield different radiological outcomes following surgical treatment while identifying prognostic factors for worse outcomes.
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Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, CHRU de Nancy, France.
Perilunate fracture-dislocations are frequently associated with a high risk of developing post-traumatic arthritis. Current studies indicate that during mid-term follow-ups, radiological signs of arthritis do not appear to correspond with functional score. The aim of this study was to assess the occurrence of posttraumatic arthritis and the wrist function after perilunate dislocations (PLD) and fracture dislocations at a mid-term follow-up of 7 years.
View Article and Find Full Text PDF[Trans-scapho-perilunar fracture-dislocation: a case report].
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Universidad Tecnológico de Monterrey, Campus Ciudad de México, México.
Trans-scaphoid perilunate fractures-dislocations are rare injuries caused by high-energy trauma of the wrist. Diagnosis is based on medical history, physical examination, and tools such as radiographs, computed tomography scan, and magnetic resonance imaging. Early treatment consists of closed reduction and casting to stabilize the limb.
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