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Volar perilunate trans-scaphoid dislocation: a case
Daisuke Murakawa1, Takeshi Makino, Shinichiro Kishimoto
1Department of Orthopaedic Surgery, Rokko Island Kohnan Hospital, Kobe 658-0032, Japan.
Summary
This case report details a rare volar perilunate trans-scaphoid dislocation, a complex wrist injury. The condition was successfully treated using open reduction and internal fixation surgical techniques.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Perilunate dislocations are uncommon wrist injuries, often resulting from high-energy trauma.
- Trans-scaphoid dislocations, involving a fracture of the scaphoid bone, add complexity to these injuries.
- Volar dislocations are less frequent than dorsal dislocations, making this presentation particularly rare.
Observation:
- A rare case of volar perilunate trans-scaphoid dislocation was identified.
- The injury involved both the lunate bone and the scaphoid bone, with displacement towards the palm.
- This specific injury pattern presents unique diagnostic and management challenges.
Findings:
- The patient underwent open reduction and internal fixation (ORIF) for the dislocation and fracture.
- ORIF aims to anatomically reduce the carpal bones and stabilize the scaphoid fracture.
- Successful surgical management is crucial for restoring wrist function and stability.
Implications:
- This case highlights the importance of recognizing and managing rare wrist dislocations.
- Open reduction and internal fixation can be an effective treatment for complex volar perilunate trans-scaphoid dislocations.
- Further research into optimal surgical techniques and long-term outcomes for such injuries is warranted.
