Scaphoid proximal pole ejection in perilunate injury: a case report and pathophysiological hypothesis
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Jean-Baptiste de Villeneuve Bargemon1, Rémy Dubian2, Marie Witters2
1Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, 99 Avenue Saint Roch, 83100 Toulon, France; Department of Hand Surgery, Plastic and Reconstructive Surgery of the Limbs - La Timone University Hospital, Assistance Publique Hôpitaux de Marseille, Marseille, France.
Abstract:
Isolated ejection of the scaphoid proximal pole in perilunate injuries is rare, with only 4 reports in the literature, and does not correspond to the biomechanical situations in the Herzberg or Mayfield classifications. Bone ejection incurs a risk of avascular necrosis despite good osteosynthesis, notably because of precarious vascularization. We present a case of scaphoid proximal pole ejection and a theoretical hypothesis of the biomechanics of this injury. LEVEL OF EVIDENCE: 4.
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