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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Trans-Scaphoid Perilunate Fracture Dislocation Managed With Open Reduction: A Case Report.

Rajesh K Ambulgekar1, Pratik Sharad Masne1, Akshay Jadhav1

  • 1Department of Orthopaedics, Dr Shankarrao Chavan Government Medical College, Nanded, Maharashtra, India.

Journal of Orthopaedic Case Reports
|March 6, 2023
PubMed
Summary
This summary is machine-generated.

Perilunate dislocations and fracture dislocations are severe wrist injuries often missed initially. Prompt diagnosis and treatment, including open reduction for complex cases, are crucial for good functional outcomes and preventing long-term complications.

Keywords:
Perilunate dislocationcarpal Instabilityperilunate fracture dislocation

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Wrist Biomechanics

Background:

  • Perilunate dislocations (PLD) and perilunate fracture dislocations (PLFDs) are high-energy wrist injuries.
  • Approximately 25% of PLD are missed during initial evaluation, leading to significant morbidity.
  • Untreated perilunate injuries can cause avascular necrosis, arthritis, and chronic carpal tunnel syndrome.

Observation:

  • A case of a 29-year-old male with a late-presenting Transscaphoid PLFD is reported.
  • The patient underwent open reduction with a positive postoperative functional outcome.

Findings:

  • Early diagnosis and intervention are critical for preventing avascular necrosis of the lunate and scaphoid.
  • Prompt treatment of PLFDs reduces the risk of secondary osteoarthritis and long-term morbidity.
  • Open reduction can yield good functional results in complex or late-presenting perilunate injuries.

Implications:

  • Emphasizes the importance of timely diagnosis and management of perilunate injuries.
  • Highlights the potential for good outcomes with surgical intervention even in late presentations.
  • Recommends long-term follow-up to manage potential sequelae of perilunate injuries.