Transscaphoid Dorsal Lunate Dislocation: A Case Presentation and Review of the Literature.
carpal
dislocation
dorsal lunate dislocation
perilunate dislocation
transscaphoid PLD
transscaphoid dorsal lunate dislocation
wrist injuries
Journal
Journal of hand and microsurgery
ISSN: 0974-3227
Titre abrégé: J Hand Microsurg
Pays: United States
ID NLM: 101498171
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
entrez:
8
11
2021
pubmed:
9
4
2020
medline:
9
4
2020
Statut:
epublish
Résumé
This case report describes a 74-year-old man with the rare injury of transscaphoid dorsal lunate dislocation (LD). He sustained a crushing injury with a huge amount of energy to his right wrist while working with a pressing machine. There were deep abrasions and areas of skin necrosis on the dorsum of the wrist. The patient was treated with closed reduction and a Herbert screw fixation for the scaphoid fracture. Six months postoperatively, avascular necrosis (AVN) of the lunate and scaphoid was apparent on the wrist radiographs. We offered a proximal row carpectomy to the patient, but he declined surgery because he was able to perform his activity of daily living. Dorsal LD as well as its variants has a high prevalence of AVN of the lunate. Delayed diagnosis, delayed treatment, and open reduction increase the risk of AVN development of the lunate. The level of evidence is therapeutic IV.
Identifiants
pubmed: 34744385
doi: 10.1055/s-0040-1701157
pii: JHAM1900055
pmc: PMC8561796
doi:
Types de publication
Case Reports
Langues
eng
Pagination
238-242Informations de copyright
Society of Indian Hand & Microsurgeons. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest None declared.
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