Skip to main content

Advertisement

SpringerLink
Log in

Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report

  • Published:
HAND

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

References

  1. Herzberg G, Comtet JJ, Linscheid RL, et al. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am. 1993;18:768–79.

  2. Herzberg G, Forissier D. Acute dorsal trans-scaphoid perilunate fracture-dislocations: medium-term results. J Hand Surg Br. 2002;27:498–502.

  3. Mayfield JK. Patterns of injury to carpal ligaments. A spectrum. Clin Orthop Relat Res 1984;36-42

  4. Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am. 1980;5:226–41.

  5. DiGiovanni B, Shaffer J. Treatment of perilunate and transscaphoid perilunate dislocations of the wrist. Am J Orthop (Belle Mead NJ). 1995;24:818–26.

  6. Hee HT, Wong HP, Low YP. Transscaphoid perilunate fracture/dislocations—results of surgical treatment. Ann Acad Med Singapore. 1999;28:791–4.

  7. Sotereanos DG, Mitsionis GJ, Giannakopoulos PN, et al. Perilunate dislocation and fracture dislocation: a critical analysis of the volar-dorsal approach. J Hand Surg Am. 1997;22:49–56.

  8. Kremer T, Wendt M, Riedel K, et al. Open reduction for perilunate injuries—clinical outcome and patient satisfaction. J Hand Surg Am. 2010;35:1599–606.

  9. Komurcu M, Kurklu M, Ozturan KE, et al. Early and delayed treatment of dorsal transscaphoid perilunate fracture-dislocations. J Orthop Trauma. 2008;22:535–40.

  10. Souer JS, Rutgers M, Andermahr J, et al. Perilunate fracture-dislocations of the wrist: comparison of temporary screw versus K-wire fixation. J Hand Surg Am. 2007;32:318–25.

Download references

Conflict of Interest

Lisa Moody declares that she has no conflict of interest.

Andrew Y. Zhang declares that he has no conflict of interest.

Statement of Human and Animal Rights

This article does not contain any studies with human or animal subjects.

Statement of Informed Consent

Informed consent was not required from the patient prior to commencing work on this case report.

Author information

Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX, 77555-0724, USA

    Lisa Moody & Andrew Y. Zhang

Authors
  1. Lisa Moody
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andrew Y. Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Andrew Y. Zhang.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moody, L., Zhang, A.Y. Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report. HAND 10, 328–332 (2015). https://doi.org/10.1007/s11552-014-9634-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11552-014-9634-x

Keywords

Search

Navigation