Fivefold Fracture in a Perilunate Fracture Dislocation Involving Scaphoid, Capitate, Hamate, Triquetrum and Lunate: A Case Report

2020 ◽  
Vol 25 (01) ◽  
pp. 119-122
Author(s):  
Cedric E. Boesch ◽  
Gabriel Dejdovic ◽  
Kevin Beutler ◽  
Adrien Daigeler ◽  
Fabian Medved
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Scapholunate Ligament ◽  
Left Wrist ◽  
Perilunate Dislocation ◽  
Perilunate Fracture Dislocation

This case report presents a very rare fracture combination in a perilunate dislocation including the scaphoid, capitate, hamate and triquetrum and the cornu anterior of the lunate, with an intact scapholunate ligament in a left wrist. An open reduction and internal fixation of the scaphoid, capitate, hamate and triquetrum was performed.

Surgical Treatment of Trans-Scaphoid, Transcapitate, Transtriquetral, Perilunate Fracture–Dislocation with Open Reduction, Internal Fixation and Lunotriquetral Ligament Repair

2008 ◽  
Vol 33 (3) ◽  
pp. 377-379 ◽  
Author(s):  
E. SANDOVAL ◽  
D. CECILIA ◽  
E. GARCIA-PAREDERO
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Suture Anchor ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Ligament Repair ◽  
Motorcycle Accident ◽  
Lunotriquetral Ligament ◽  
Perilunate Fracture Dislocation ◽  
The Right

This paper presents a rare case of trans-scaphoid, transcapitate, transtriquetral, perilunate fracture–dislocation of the right wrist as a result of a motorcycle accident. Open reduction and internal fixation of the scaphoid and capitate with one screw was performed and the lunotriquetral ligament was repaired using a suture anchor.

Proximal and Palmar Dislocation of the Lunate and Proximal Scaphoid as a Unit in a Case of Scaphocapitate Syndrome

1998 ◽  
Vol 23 (2) ◽  
pp. 266-268 ◽  
Author(s):  
R. PANDIT
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Functional Result ◽  
Fracture Dislocation ◽  
Long Term Results ◽  
Proximal Pole ◽  
Fracture Dislocations ◽  
Perilunate Fracture Dislocation ◽  
Palmar Aspect

Various patterns of transscaphoid, transcapitate fracture-dislocations have been described in the literature. There is little information on the method of management and the long-term results of such severe and rare injuries. The case described here involved a transscaphoid, transcapitate, palmar perilunate fracture-dislocation with ejection of the proximal pole of the scaphoid and lunate into the palmar aspect of the forearm. The functional result 32 months after delayed open reduction and internal fixation is reported.

A Stepwise Approach to Management of Open Radiocarpal Fracture-Dislocations: A Case Report

2017 ◽  
Vol 22 (03) ◽  
pp. 366-370 ◽  
Author(s):  
Colin Yi-Loong Woon ◽  
Taizoon Baxamusa
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Unique Case ◽  
Stepwise Approach ◽  
Second Stage ◽  
Fracture Dislocations ◽  
Manual Pressure ◽  
Operating Room Staff

Radiocarpal dislocations are uncommon and occur after significant trauma. We describe a unique case of open radiocarpal fracture-dislocation presenting with progressive neurovascular compromise. Staged management was necessary. As a first stage, emergent provisional bedside reduction in the emergency room with manual pressure through the open wounds was performed. The second stage then involved formal open reduction and internal fixation as soon as operating room staff and resources became available.

scholarly journals Trapezium and Bennett Fracture – A Rare Base Thumb Fracture Pattern:A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Gabriel Pina ◽  
Maria Rita Vaz ◽  
Ana Vaz ◽  
Ana Abrantes ◽  
Luís Machado
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Hand Surgery ◽  
Clinical Results ◽  
Fracture Dislocation ◽  
Mobility Limitations ◽  
Anterior Oblique Ligament ◽  
Trapezium Fracture ◽  
Bennett Fracture

Introduction: Trapezium fracture is a rare entity whose treatment is controversial. The reported cases range from conservative treatment to surgical treatment with good reported results. Case Report: This paper reports a clinical case of trapezium-metacarpal fracture-dislocation associated with trapezius fracture and Bennett fracture, surgically treated with excellent functional and radiological results. The patient underwent open reduction and internal fixation with two screws, excision of fragments, and reinsertion of the anterior oblique ligament. At the year of follow-up, the patient presented no mobility limitations and recovered grip strength. Conclusion: This case study allows us to conclude that open reduction and internal fixation with screws of the dorsal trapezium ridge fractures with ligament repair of the anterior oblique ligament is a valid treatment with the reproduction of good clinical results. Keywords: Hand surgery, internal fixation, trapezium fracture.

scholarly journals Avascular necrosis of the lunate secondary to perilunate fracture dislocation: Case report and review of the literature

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110323
Author(s):  
Jorge I Quintero ◽  
Kjell Van Royen ◽  
Fadi Bouri ◽  
Mohammed Muneer ◽  
Huey Tien
Keyword(s):  
Avascular Necrosis ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Palmar Arch ◽  
Left Wrist ◽  
Perilunate Dislocation ◽  
Anatomic Dissection ◽  
Perilunate Fracture Dislocation ◽  
Wrist Fusion ◽  
Arthritic Changes

This is a 39-year-old male, fell from a bike, left wrist with trans-styloid perilunate fracture dislocation that underwent open reduction internal fixation, 20 months after surgery the patient developed avascular necrosis of the lunate, final wrist fusion was performed secondary to the arthritic changes on the wrist. Anatomic dissection was performed and vascularity of the lunate was identified, its origin is from the volar palmar arch, when dislocated palmarly and more than 90 degrees the vessel is still intact. More than 512 patients with perilunate dislocation and perilunate fracture dislocation are included we identified in the literature transient avascular necrosis of the lunate in nine and seventeen of pure avascular necrosis of the lunate. Concluding that avascular necrosis of the lunate after perilunate dislocation or perilunate fracture dislocation is an infrequent finding especially when the volar ligaments are intact.

scholarly journals Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head

2019 ◽  
Vol 09 (03) ◽  
pp. 240-243
Author(s):  
Frank Nienstedt ◽  
Markus Mariacher ◽  
Günther Stuflesser ◽  
Wilhelm Berger
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Excellent Result ◽  
Corrective Osteotomy ◽  
Fracture Dislocation ◽  
Intraarticular Fracture ◽  
Ulnar Head ◽  
Ulnar Styloid Fracture ◽  
Palmar Approach

Abstract Background Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature. Case Description We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. An associated displaced intraarticular fracture of the ulnar head has been overlooked. He presented late in our clinic with a symptomatic nascent malunion of the ulnar head fracture. A corrective osteotomy by a palmar approach was performed. Fixation by screws was used with an excellent result at 7-year follow-up. Literature Review The rare cases of isolated ulnar head fractures reported in literature were treated by open reduction and internal fixation only in case of fracture dislocation. Clinical Relevance The authors highlight the fact that even a nascent malunion of an isolated intraarticular fracture of the ulnar head may be treated successfully by open reduction and internal fixation.

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