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TRAUMATIC SCAPHOLUNATE DISSOCIATION--CASE REPORT.

D Popescu, S Albetar, O Alexa

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi

|July 25, 2015

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Promptly treating perilunate injuries, such as scapholunate dissociation, is crucial for optimal wrist function. This case highlights successful surgical repair and immobilization for good functional outcomes.

Area of Science:

Orthopedic Surgery
Traumatology
Hand and Wrist Surgery

Background:

Perilunate injuries require prompt recognition and treatment for favorable outcomes.
Scapholunate dissociation is the most common form of carpal instability.
Delayed treatment can lead to decreased range of motion, grip strength loss, and osteoarthritis.

Observation:

A 53-year-old woman sustained a scapholunate dissociation from a fall onto an outstretched hand.
The injury involved the dominant right wrist.
Surgical intervention was performed 48 hours post-injury.

Findings:

The surgical procedure included external reduction and percutaneous pinning to restore carpal alignment.
Postoperative immobilization in a brachipalmar cast lasted 8 weeks.

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At 6 months, clinical and radiological assessments showed good functional recovery.

Implications:

Early anatomical reduction and fixation are key in managing perilunate injuries.
Percutaneous pinning offers a viable fixation method for scapholunate dissociation.
Successful surgical management can restore wrist function and prevent long-term complications.