Trans-scaphoid perilunate dislocation in a child. A case report

Area of Science:

• Orthopedic Surgery
• Pediatric Traumatology
• Wrist Biomechanics

Background:

• Perilunate dislocations are rare wrist injuries, particularly in pediatric populations.
• Trans-scaphoid perilunate dislocations represent a severe subset of these injuries.
• Understanding the mechanism is crucial for diagnosis and treatment.

Observation:

• A 10-year-old boy sustained an acute trans-scaphoid perilunate dislocation.
• The injury involved a complex disruption of the carpal bones and ligaments.
• Clinical presentation and radiographic findings were consistent with this diagnosis.

Findings:

• Successful closed reduction of the trans-scaphoid perilunate dislocation was achieved.
• The patient demonstrated a full recovery of wrist strength and mobility.
• Recovery was documented at 9 weeks post-injury.

Implications:

• This case highlights the possibility of successful non-operative management for severe wrist dislocations in children.
• It underscores the importance of prompt diagnosis and appropriate reduction techniques.
• Further discussion on injury mechanisms may elucidate reasons for its rarity in this age group.