Ejection of the proximal scaphoid in a trans-scaphoid perilunate fracture dislocation. A case report.
case_report · Level V
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- Record sourced from PubMed, PMID 8168293.
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Abstract
Trans-scaphoid perilunate fracture dislocations are difficult injuries to treat. Described herein is the unusual case of a trans-scaphoid perilunate fracture dislocation in which the proximal scaphoid fragment was ejected into the volar aspect of the distal forearm. The significant displacement of the proximal fragment represented complete devascularization of this piece. This unique fracture raised difficult management issues in the treatment of this injury. A primary proximal row carpectomy was performed, with a successful clinical result.
Medical subject headings
- Carpal Bones
- Fractures, Bone
- Joint Dislocations
Anatomy
- wrist
- hand