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Recurrent dorsal trans-scaphoid perilunate dislocation.

I M Lowdon, A H Simpson, P Burge

    Journal of Hand Surgery (Edinburgh, Scotland)
    |October 1, 1984
    PubMed
    Summary
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    This case report details a trans-scaphoid perilunate dislocation resulting from a scaphoid non-union. It explores the effectiveness of open reduction and immediate bone grafting for this complex wrist injury.

    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Hand Surgery

    Background:

    • Perilunate dislocations are severe wrist injuries often associated with carpal bone fractures.
    • Scaphoid non-union presents a unique challenge, potentially altering wrist biomechanics and predisposing to instability.

    Observation:

    • A case of trans-scaphoid perilunate dislocation is presented, originating from a pre-existing scaphoid non-union.
    • This specific injury mechanism highlights the complex interplay between carpal instability and fracture healing.

    Findings:

    • The study discusses the surgical management of this rare injury pattern.
    • Open reduction and immediate bone grafting were considered as a primary treatment strategy.

    Implications:

    Related Experiment Videos

    • This case provides insights into managing complex wrist dislocations in the context of scaphoid non-union.
    • Understanding these injury patterns can guide orthopedic surgeons in optimizing treatment for similar challenging cases.