Perilunate Fracture-Dislocation; Clinical Image
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 19, Issue 3
Abstract
Perilunate fracture dislocations are rare with seven percentage of wrist pathologies but many of these injuries are not diagnosed well so that roughly 25% of perilunate dislocations being missed in clinics (Figure 1). The importance of diagnosing such injuries is highlighted by serious complications consists of chronic carpal instability, median nerve injury, lunate avascular necrosis, complex regional pain syndrome (CRPS) and posttraumatic wrist arthrosis [1-3]. Here, we report a case of a 42-year-old male presented to our supreme orthopedic center, Akhtar Hospital, with right hand complex perilunate fracture dislocation treated by standard percutaneous pinning and dorsal screw fixation of scaphoid (Figure 2). The increased risk of complications with, performing an emergency salvage surgery in the acute setting for perilunate fracture dislocations could avert a patient from next repetitive operation. Our case presents a rare case of orthopedic emergency and indicate the importance of prompt diagnosis and intervention of perilunate injuries.
Authors and Affiliations
Reza Minaei Noshahr, Seyyed-Mohammad Qoreishi, Ehsan Hakimi, Seyyed Morteza Kazemi, Siamak Shabani, Peyman Zia Dehkordi, Naser Ghanbari, Mehdi Aarabi, Seyyed-Mohsen Hosseininejad
Keywords
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- EP ID EP621743
- DOI 10.26717/BJSTR.2019.19.003296
- Views 123
- Downloads 0
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