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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
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Flail Chest-I01:24

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Overview of Flail Chest
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Related Experiment Video

Updated: May 24, 2026

A Coupled Experiment-finite Element Modeling Methodology for Assessing High Strain Rate Mechanical Response of Soft Biomaterials
11:28

A Coupled Experiment-finite Element Modeling Methodology for Assessing High Strain Rate Mechanical Response of Soft Biomaterials

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Perilunate injuries.

Robert Najarian1, Ali Nourbakhsh, John Capo

  • 1Division of Hand and Microvascular Surgery, Department of Orthopedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 140 Bergen Street, Newark, NJ 07103 USA.

Hand (New York, N.Y.)
|March 2, 2012
PubMed
Summary
This summary is machine-generated.

Early treatment of perilunate dislocations and fracture dislocations is crucial for optimal outcomes. Anatomic restoration of carpal alignment, often achieved with a combined dorsal-volar surgical approach, yields better results than closed management.

Keywords:
DislocationFracturePerilunateTreatmentWrist

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Hand and Wrist Surgery

Background:

  • Perilunate dislocations and fracture dislocations typically result from high-energy wrist trauma.
  • These injuries involve axial loading, hyperextension, ulnar deviation, and intercarpal supination.
  • Timely intervention is essential for favorable clinical outcomes.

Purpose of the Study:

  • To review current literature on the treatment and prognosis of perilunate injuries.
  • To discuss surgical techniques for restoring carpal alignment and repairing the scapholunate interosseous ligament.
  • To advocate for anatomic restoration of carpal alignment for improved patient results.

Main Methods:

  • Review of current literature on perilunate injury management.
  • Discussion of the combined dorsal-volar surgical approach.
  • Description of techniques for carpal alignment restoration and ligament repair.

Main Results:

  • Anatomic restoration of carpal alignment is associated with better clinical outcomes compared to closed management.
  • The combined dorsal-volar approach allows comprehensive assessment and treatment of injured structures.
  • Surgical repair techniques can effectively restore carpal alignment and ligament integrity.

Conclusions:

  • Early and anatomic reduction of perilunate dislocations and fracture dislocations is paramount.
  • The combined dorsal-volar approach is a preferred surgical strategy for these complex injuries.
  • Optimal management involves meticulous surgical repair to restore carpal mechanics and stability.