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Translunate, Transradial, Transtriquetral, Transtrapezoid Perilunate Dislocation With Multiple Metacarpal Neck
1Department of Trauma and Orthopaedics, Gwynedd Hospital, Penrhosgarnedd, Bangor, United Kingdom. sarangkasture@gmail.com.
American Journal of Orthopedics (Belle Mead, N.J.)
|January 9, 2018
Summary
This study details a rare perilunate dislocation with multiple metacarpal fractures in a young adult. Surgical treatment led to a good functional outcome despite the severe injury.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Hand and Wrist Anatomy
Background:
- Perilunate dislocations are uncommon wrist injuries.
- Severe hand and wrist trauma requires prompt and effective management.
Observation:
- A rare case of translunate, transradial, transtriquetral, transtrapezoid perilunate dislocation was observed.
- The patient sustained multiple metacarpal neck fractures concurrently.
Findings:
- The complex wrist dislocation and fractures were treated with open reduction and internal fixation.
- Despite the severity of the injury, the patient achieved a satisfactory functional result.
Implications:
- This case highlights successful surgical management of severe, multi-bone wrist injuries.
- Early and appropriate intervention can lead to favorable outcomes in complex hand trauma.
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