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Related Experiment Videos

Concurrent perilunate dislocation in patients with elbow dislocation: case reports

W S Chen1

  • 1Department of Orthopedic Surgery, Chang-Gung Medical College, Kaohsiung, Taiwan.

The Journal of Trauma
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

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Concurrent perilunate dislocations often accompany elbow dislocations from falls. Prompt treatment of elbow dislocations yields excellent results, while perilunate dislocations require timely intervention for optimal outcomes.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Hand Surgery

Background:

  • Elbow dislocations are common injuries, often resulting from falls on an outstretched upper extremity.
  • Concurrent injuries can complicate the management and prognosis of primary dislocations.
  • Perilunate dislocations represent a significant disruption of the wrist's carpal anatomy.

Observation:

  • Three patients presented with elbow dislocations following falls.
  • All three patients were found to have concomitant perilunate dislocations.
  • The mechanism of injury involved falls on an outstretched upper extremity.

Findings:

  • Closed reduction of elbow dislocations resulted in excellent functional outcomes.
  • Open reduction and internal fixation for perilunate dislocations led to anatomic reduction and satisfactory recovery in two patients.

Related Experiment Videos

  • Delayed diagnosis of perilunate dislocation in one patient necessitated a proximal row carpectomy.

    • Implications:

    • Early recognition and management of combined elbow and perilunate dislocations are crucial.
    • Timely surgical intervention for perilunate dislocations improves functional recovery.
    • Delays in diagnosing perilunate dislocations can lead to more complex surgical procedures and potentially poorer outcomes.