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2019, Number 4

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Medisur 2019; 17 (4)

Trans-escapho-perilunate fracture-dislocation. Case Presentation

Truffin RY, Pérez MO, Samón MSM, Suárez MHS
Full text How to cite this article

Language: Spanish
References: 8
Page: 594-597
PDF size: 190.06 Kb.


Key words:

perilunar fractures, wrist dislocation, case report.

ABSTRACT

Dislocations and perilunar fractures-dislocations are an infrequent entity (approximately 5% of post-traumatic injuries of the wrist).The most common event is that the distal row of the carpus is located dorsally with respect to the lunate. If there is an associated fracture, the most affected bone will be the scaphoid, at the height of the middle third and with a transverse line. These lesions often go unnoticed, hence the importance of studying them, reason for which it was decided to present the case of a 21-year-old patient, attended at the Hospital de Cienfuegos, for severe pain in the wrist after suffering a fall. The closed reduction of the dislocation was performed by the Tavernier maneuver and percutaneous fixation of the scaphoid fracture with two Kirschner wires. The scaphoid synthesis was maintained for eight weeks and the immobilization was withdrawn at 12 weeks after consolidation of the scaphoid fracture.


REFERENCES

  1. Johnson RP. The acutely injured wrist and its residuals. Clin Orthop. 1980 ; 149: 33-44.

  2. Green DP, O´brien ET. Classification and management of carpal dislocation. Clin Orthop. 1980 ; 149: 55-67.

  3. Bahri H, Maalla R, Baccari S, Daghfous M, Tarhouni L. Les luxations transscapho-perilunaires du carpe. Traitement en deux temps. Chir Main. 2000 ; 19: 181-6.

  4. Muppavarapu RC, Capo JT. Perilunate Dislocations and Fracture Dislocations. Hand Clin. 2015 ; 31 (3): 399-408.

  5. Elfar JC. Perilunate Dislocation and Perilunate Fracture-dislocation. Hand Clin. 2015 ; 31: 554-62.

  6. Forli A, Courvoisier A, Wimsey S, Corcella D, Moutel F. Perilunate dislocations and transscaphoid perilunate fracture- dislocations: a retrospective study with minimun ten-year follow up. J Hand Surg Am. 2010 ; 35 (1): 62-80.

  7. Truffín Rodríguez Y, Requeiro Molina J, Gámez Arregoitía R, Pérez Martínez O. Luxación perilunar transescafoidea. Presentación de un caso. Medisur [revista en Internet]. 2015 [ cited 15 Jun 2019 ] ; 13 (3): [aprox. 5p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1727-897X2015000300014&lng=es.

  8. Xie B, Tian J, Liu B, Jing Y, Xue H, Xiang L, et al. Acutrak headless compression screw fixation for the treatment of scaphoid non-union. Zhongguo Gu Shang. 2014 ; 27 (3): 183-6.




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Medisur. 2019;17