Established non-union of an operatively managed trans-scaphoid perilunate fracture dislocation progressing to spontaneous union

Hiren M Divecha, Jon V Clarke, Steven J Barnes

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1 Citation (Scopus)

Abstract

Perilunate dislocations and fracture dislocations represent uncommon and unusual injuries that are often missed at initial presentation and diagnosed late in up to 25% of cases. Prompt open reduction, carpal stabilisation and ligamentous repair is required to reduce the risk of complications. We report a case of an established scaphoid non-union in an operatively managed perilunate fracture dislocation that spontaneously united almost 2 years after the initial injury, just before a planned revision scaphoid fixation with bone grafting. This case highlights the importance of initial clinical assessment together with appropriate radiographs and follow-up of these injuries post-operatively, especially when complications such as non-union arise.

LanguageEnglish
Pages159-162
Number of pages4
JournalJournal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
Volume12
Issue number3
DOIs
Publication statusPublished - Sep 2011

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Wounds and Injuries
Bone Transplantation
Wrist
Fracture Dislocation

Keywords

  • dislocations
  • fracture healing
  • fractures, bone
  • humans
  • lunate bone
  • male
  • remission, spontaneous
  • reoperation
  • scaphoid bone
  • time factors
  • young adult

Cite this

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abstract = "Perilunate dislocations and fracture dislocations represent uncommon and unusual injuries that are often missed at initial presentation and diagnosed late in up to 25{\%} of cases. Prompt open reduction, carpal stabilisation and ligamentous repair is required to reduce the risk of complications. We report a case of an established scaphoid non-union in an operatively managed perilunate fracture dislocation that spontaneously united almost 2 years after the initial injury, just before a planned revision scaphoid fixation with bone grafting. This case highlights the importance of initial clinical assessment together with appropriate radiographs and follow-up of these injuries post-operatively, especially when complications such as non-union arise.",
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AB - Perilunate dislocations and fracture dislocations represent uncommon and unusual injuries that are often missed at initial presentation and diagnosed late in up to 25% of cases. Prompt open reduction, carpal stabilisation and ligamentous repair is required to reduce the risk of complications. We report a case of an established scaphoid non-union in an operatively managed perilunate fracture dislocation that spontaneously united almost 2 years after the initial injury, just before a planned revision scaphoid fixation with bone grafting. This case highlights the importance of initial clinical assessment together with appropriate radiographs and follow-up of these injuries post-operatively, especially when complications such as non-union arise.

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KW - reoperation

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