Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report.
case_report · Level V
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- Record sourced from PubMed, PMID 26034454.
- Also identified by DOI 10.1007/s11552-014-9634-x and PMC identifier 4447658.
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Abstract
We describe an unusual case of trans-scaphoid perilunate injury where the proximal half of the scaphoid avulsed from all attaching ligaments and extruded into the forearm. Treatment involved anatomic reduction and internal fixation of the fracture, scapholunate (SL) ligament repair, temporary K-wire fixation, and prolonged immobilization. At 19-month follow-up, the fracture healed, SL ligament remained intact, and the patient recovered much of his hand function.