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Related Experiment Videos

Malalignment of the scaphoid after lunate dislocation.

G R Fisk

    Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
    |January 1, 1984
    PubMed
    Summary

    Sequelar displacement of the scaphoid bone can occur after perilunar dislocations. This displacement may be linked to scapholunate dissociation and requires specific surgical considerations for wrist fracture reduction.

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    The wrist joint.

    The Hand·1983

    Area of Science:

    • Orthopedic Surgery
    • Hand and Wrist Surgery
    • Traumatology

    Background:

    • Perilunar dislocations can lead to complex wrist injuries.
    • Sequelar displacement of the scaphoid is a potential complication following these dislocations.

    Purpose of the Study:

    • To highlight the occurrence and implications of sequelar scaphoid displacement.
    • To discuss the association with scapholunate dissociation and management strategies.

    Main Methods:

    • Review of cases involving perilunar dislocations and subsequent scaphoid displacement.
    • Analysis of radiographic findings, including horizontal tilting of the scaphoid.
    • Evaluation of surgical reduction techniques and outcomes.

    Main Results:

    • Sequelar displacement of the scaphoid is a recognized complication.
    • Horizontal scaphoid tilting, with proximal pole contact to the posterior radius, suggests potential scapholunate dissociation.
    • Wrist immobilization in flexion may contribute to this displacement.

    Conclusions:

    • Surgical reduction of perilunar dislocations should be performed via a dorsal approach.
    • Division of the posterior rim of the radius may be necessary during surgical reduction.
    • Awareness of sequelar scaphoid displacement is crucial for optimal patient outcomes.

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