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Related Experiment Videos

Transnavicular perilunate dislocations.

R L Worland, H M Dick

    The Journal of Trauma
    |May 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Transnavicular perilunate dislocation requires open reduction and internal fixation for optimal outcomes. Early intervention with potential navicular bone grafting can prevent complications like avascular necrosis and nonunion.

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    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Anatomy

    Background:

    • Transnavicular perilunate dislocation is a severe wrist injury.
    • Literature review indicates varied management strategies.
    • This study analyzes nine cases to propose a management method.

    Purpose of the Study:

    • To analyze transnavicular perilunate dislocation.
    • To propose a management strategy for this complex wrist injury.
    • To discuss the rationale behind the proposed management.

    Main Methods:

    • Review of existing literature on transnavicular perilunate dislocations.
    • Analysis of a case series of nine patients with this injury.
    • Proposed management protocol including open reduction, internal fixation, and potential bone grafting.

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    Main Results:

    • Open reduction and internal fixation are deemed necessary for most cases.
    • Anatomic manipulative reduction may suffice in select instances.
    • A navicular bone graft is recommended at six weeks for avascular necrosis or nonunion signs.

    Conclusions:

    • Surgical intervention (open reduction and internal fixation) is crucial for transnavicular perilunate dislocations.
    • Prompt management is essential to prevent complications.
    • Bone grafting is a viable option for managing post-injury complications like avascular necrosis.