Rowan CH, Downing ND. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221041 Description Perilunate dislocations are uncommon high-energy injuries which are missed in approximately 25% of cases on initial presentation. We present the X-rays of a 25-year-old man who fell from a height of approximately 2 metres onto an extended wrist. Plain radiographs (figure 1) show classical signs of a trans-scaphoid ...

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.

OBJECTIVE In this study, eighteen patients who have had perilunate injury with dislocation or fracture, were evaluated and the patho-mechanics and surgical treatment were studied. SUBJECTS AND METHODS According to the Green and O'Brien's classification, type 1 injury occurred in one patient, type 2 in nine, type 4A in five, type 4C in one and type 4D in one. The other one case could not be cl...

DOI: 10.3760/cma.j.issn.1008-1275.2011.01.001 Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, 5000 Monastir, Tunisia (Hamdi MF) Corresponding author: Tel: 216-99-831-236 / 216-984 08 -3 86 , Fax: 21 6-73 -4 6 0-67 8, E m ai l: h am di. [email protected] 【Abstract】Volar perilunate fracture dislocation is an extremely rare carpal injury, but associated with metaca...

A case of bacterial endocarditis due to a highly resistant strain of Streptococcus faecalis is described. Although some measure of control of infection was obtained by a combined course of fucidic acid and penicillin the condition relapsed immediately the drugs were discontinued. Finally, the intravenous administration of penicillin in doses of 100 mega units daily for 3 months in conjunction w...

A 16 year old, right hand dominant worker sustained a severe injury after his shirt had been caught by a kind of a roller. On evaluation, he had complaints of numbness and paresthesias in the hand with diffuse tenderness, swelling and deformities of the wrist, forearm and the arm. Circulation seemed to be impaired, but radial and ulnar pulses could be palpated, although with difficulty because ...

Perilunate and perilunate fracture dislocations are high-energy injuries with the wrist loaded in extension, ulnar deviation, and intercarpal supination. The force vector travels from a radial to a ulnar direction and can result in complex carpal instability. The diagnosis is often delayed, which can result in suboptimal outcomes. Nonoperative management can produce inferior results, with patie...