background: trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. the treatment can be achieved either surgically by open reduc tion and internal fixation or closed reduction and casting.   methods: to compare surgical versus non-operative results of treatment of trans-scaphoid peri...

  Background: Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduc tion and internal fixation or closed reduction and casting.   Methods: To compare surgical versus non-operative results of treatment of trans-scaphoid pe...

BACKGROUND Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduction and internal fixation or closed reduction and casting. METHODS To compare surgical versus non-operative results of treatment after trans-scaphoid peri...

absractall perilunate fracture-dislocations combine bone avulsions, ligament disruptionand fractures in different forms. the most frequent pattern is the dorsal transscaphoidperilunate fracture-dislocation. the reported risk of missed initial diagnosisin perilunate dislocations is as high as 20%. concerning pathomechanics of theperilunate fracture-dislocation, it should be noted that most dorsa...

AbsractAll perilunate fracture-dislocations combine bone avulsions, ligament disruptionand fractures in different forms. The most frequent pattern is the dorsal transscaphoidperilunate fracture-dislocation. The reported risk of missed initial diagnosisin perilunate dislocations is as high as 20%. Concerning pathomechanics of theperilunate fracture-dislocation, it should be noted that most dorsa...

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...

carpal fracture-dislocation is regarded as an unusual orthopedic injury and, thus, orthopedic surgeons are less experienced in dealing with and treating these fractures and dislocations. we report a 20-year-old worker man suffering from an unusual carpal fracture-dislocation. there was trans-scaphoid fracture and lunate dislocation with other carpal proximal bones toward volar of the wrist. two...

A classification and plan of management for carpal dislocations are presented, based upon the following basic premises: perilunate and lunate dislocations are different stages of the same injury and are therefore managed identically; displacement may be either dorsal or volar; anatomic restoration of the 3 key elements (scaphoid, lunate, and capitate) is essential. Following initial closed redu...

Of all wrist dislocation, the perilunate is the most common type of dislocation. There is ligament disruption typically begins radially and propagates around the lunate. It may be associated with different carpal fractures which the most common pattern is the trans-scaphoid perilunate fracture-dislocation [1,2] which constitutes approximately 50% of these injuries [1-5]. Injury to the distal ra...

Carpal dislocation and fracture dislocation are uncommon and difficult to treat. Early diagnosis and treatment of such injuries are necessary to prevent progressive carpal instability and traumatic arthritis. Perilunate fracture dislocation is a combination of ligamentous and osseous injuries that involve the 'greater arc' of the perilunate. Despite being severe, these injuries often go unrecog...