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.

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.

Trans-Triquetral Dorsal Perilunate Fracture Dislocation

2007 ◽  
Vol 32 (6) ◽  
pp. 647-648 ◽  
Author(s):  
Y. F. LEUNG ◽  
S. P. S. IP ◽  
A. WONG ◽  
W. Y. IP
Keyword(s):  
Rare Case ◽  
Soft Tissues ◽  
Carpal Bones ◽  
Fracture Dislocation ◽  
Perilunate Dislocation ◽  
Perilunate Fracture Dislocation

A rare case of trans-triquetral dorsal perilunate dislocation is described. It differs from the Mayfield and Johnson theory of progressive perilunar instability in greater arc injuries which states that the injury passes from the radial to the ulnar carpal bones and soft tissues in stages. This injury supports the concept of a reverse greater arc injury from ulnar to radial being possible with the radial carpal bones being spared in some cases.

scholarly journals Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Graeme Matthewson ◽  
Samuel Larrivee ◽  
Tod Clark
Keyword(s):  
Pain Syndrome ◽  
High Energy ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Salvage Procedure ◽  
First Case ◽  
Satisfactory Outcome ◽  
Dominant Female ◽  
Increased Risk ◽  
Perilunate Fracture Dislocation

Perilunate fracture dislocations are a rare but devastating injury, which is often missed on initial presentation leading to significant delays in treatment. With the delay in treatment and a high energy mechanism of injury, patients are at increased risk of developing complex regional pain syndrome following trauma. In this report, we review the case of a 57-year-old left-hand dominant female who presented to a clinic with a five-and-a-half-week-old transtriquetral, perilunate fracture dislocation with comminution of the scaphoid facet. Due to the increased likelihood of a secondary procedure and low probability of a satisfactory outcome with open reduction internal fixation secondary to the loss of the scaphoid articulation, a salvage procedure was deemed her best option. To our knowledge, this is the first case reported in the literature in which a scaphoidectomy, triquetromy, and midcarpal fusion (three-corner fusion) was performed in the acute setting for a perilunate fracture dislocation.

Translunate, Transmetacarpal, Scapho-Radial Fracture with Perilunate Dislocation A Case Report

1985 ◽  
Vol 10 (3) ◽  
pp. 382-384
Author(s):  
P. TOFT ◽  
K. BERTHEUSSEN ◽  
S. OTKJAER
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Closed Reduction ◽  
Open Reduction ◽  
X Rays ◽  
Radial Fracture ◽  
Perilunate Dislocation ◽  
Carpal Fracture ◽  
Fracture Dislocations

A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.

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