Early Results of Early Intervention in Patients with Perilunate Dislocation and Fractured Dislocation

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Perilunate dislocation and perilunate fracture-dislocation.

Perilunate dislocations and perilunate fracture-dislocations usually result from high-energy traumatic injuries to the wrist and are associated with a characteristic spectrum of bony and ligamentous damage. Radiographic evaluation of the wrist reveals loss of normal radiocarpal and intercarpal colinearity and bony insult, which may be overlooked at the initial presentation. Prompt recognition i...

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Perilunate Dislocation

Figure 1. Radiograph demonstration of a perilunate dislocation: The lunate maintains its normal articulation with the radius, whereas the capitated articular surface is dislocated from the lunate dorsally. Figure 2. Diagrammatic representation of the 3 carpal arcs of Gilula's lines. The first arc is a smooth curve outlining the proximal convexities of the scaphoid, lunate, and triquetrum. The s...

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Transscaphoid perilunate dislocation

A 24-year-old male presented to the ED after a fall of approximately 25 feet from a rooftop. As he landed, he attempted to break his fall with an outstretched hand. His injuries were limited to right-sided acetabular and pubic rami fractures, and the wrist fracture-dislocation shown here (Figs. 1, 2, 3, 4). Perilunate dislocations are often accompanied by scaphoid fractures due to the stresses ...

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[Palmar scaphoid dislocation associated with dorsal perilunate dislocation. A case report and review of the literature].

Most carpal dislocations occur in the lunate bone or around it (perilunate). An isolated dislocation of the carpal scaphoid is a rare injury. We report a case of a palmar scaphoid dislocation combined with a dorsal perilunate dislocation, which was treated with open reduction, fixed with two Kirschner wires and ligament repair, with a good result.

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Perilunate fracture-dislocation: a continually missed injury.

Five cases of perilunate fracture-dislocation are presented in which the radiological appearances were typical but the diagnoses were initially missed. A simple systematic method of x ray analysis is described.

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ژورنال

عنوان ژورنال: Kafkas Journal of Medical Sciences

سال: 2019

ISSN: 1307-4504

DOI: 10.5505/kjms.2019.23230