Open perilunate injury with lunate revascularization after complete ligamentous avulsion

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Open perilunate injury with lunate revascularization after complete ligamentous avulsion

Perilunate dislocations are a devastating injury to the carpus that carry a guarded long-term prognosis. Mayfield type 4 perilunate dislocations are rare, high-energy injuries that carry a risk for avascular necrosis (AVN) of the lunate. When AVN ensues and the carpus collapses, primary treatment with a proximal row carpectomy or arthrodesis has been advocated. This case reports a successful cl...

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Unusual case of isolated lunate fracture without ligamentous injury.

Fractures of the lunate are rare injuries that usually result from high-energy trauma and are typically associated with other carpal and ligamentous injuries. The incidence of lunate fractures has been cited as 0.5% to 6.5% of all carpal fractures. These fractures are not frequently reported in the literature, and no consensus exists on the treatment of these injuries in the acute and chronic s...

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Image diagnosis: Perilunate and lunate dislocations.

Perilunate Dislocation Anterior-posterior (AP) view (Figure 1) demonstrates the distal and proximal carpal rows overlapping, as well as a complete radial styloid fracture. Lateral view (Figures 2 and 3) demonstrates dorsal dislocation of the capitate, whereas the lunate remains articulated with the radius. More often seen in young men in their teens to twenties, rather than children or the elde...

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Scalp Avulsion Combined with Unusual Severe Open Craniocerebral Avulsion Injury

2839 Correspondence To the Editor: Scalp avulsion is a severe type of scalp injury, which is most often caused when long, braided hair is caught in running wheels. However, scalp avulsion combined with an open skull avulsion fracture is extremely rare. Here we report a unique case of scalp avulsion combined with open craniocerebral injury. A 19‑year‑old female was transferred to our emergency d...

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Carpal dislocations: pathomechanics and progressive perilunar instability.

The pathomechanics, ligamentous damage, and degree of carpal instability in perilunate and lunate dislocations were analyzed by experimentally loading 32 cadaver wrists to failure. Thirteen perilunate and two lunate dislocations were produced. The mechanism of injury was extension, ulnar deviation, and intercarpal supination. These dislocations occurred in a sequential fashion due to progressiv...

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ژورنال

عنوان ژورنال: Journal of Surgical Case Reports

سال: 2014

ISSN: 2042-8812

DOI: 10.1093/jscr/rju041