Radial and volar perilunate transscaphoid fracture dislocation.

Area of Science:

• Orthopedic surgery
• Traumatology
• Hand surgery

Background:

• Perilunate dislocations, particularly those involving the scaphoid bone, are uncommon injuries.
• Traditional treatment approaches like closed reduction often yield suboptimal functional results.

Purpose of the Study:

• To report a case of an unusual volar and radial perilunate transscaphoid fracture dislocation.
• To discuss the treatment implications and outcomes for this specific injury pattern.

Main Methods:

• Case report of a rare fracture dislocation.
• Review of treatment options including closed reduction, open reduction, and proximal row carpectomy.

Main Results:

• Closed reduction of perilunate transscaphoid fracture dislocations is frequently associated with poor outcomes.
• Early open reduction can lead to favorable results in managing this complex wrist injury.

Conclusions:

• Prompt surgical management, preferably open reduction, is crucial for optimal outcomes in perilunate transscaphoid fracture dislocations.
• Proximal row carpectomy serves as a viable alternative when open reduction is not feasible.