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Management of trans-scaphoid perilunate dislocations

Herbert screw fixation, ligamentous repair and early wrist mobilization

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A retrospective review of 28 patients with 29 trans-scaphoid perilunate dislocations who underwent open reduction and Herbert screw fixation is presented. The majority of the patients had satisfactory results at 24 months of follow-up. A significantly better range of wrist motion was obtained in postoperative patients treated with cast immobilization for 4 weeks compared with those treated for longer than 5 weeks. The scaphoid fractures united well, with proper alignment of the carpal bones, regardless of the length of cast immobilization. We recommend open reduction, internal scaphoid fixation using a Herbert screw, carpal ligament repair and early cast removal in the management of trans-scaphoid perilunate dislocations.

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Correspondence to G. Inoue.

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Inoue, G., Imaeda, T. Management of trans-scaphoid perilunate dislocations. Arch Orthop Trauma Surg 116, 338–340 (1997). https://doi.org/10.1007/BF00433985

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  • Immobilization
  • Satisfactory Result
  • Retrospective Review
  • Open Reduction
  • Screw Fixation