Single-Stage Reduction of Neglected Perilunate Dislocation: A Case Report

Miodrag Vranjes; Vedran Zigic; Nemanja Gvozdenovic

doi:10.2478/sjecr-2022-0031

.blurhash-client-img { display: none !important; }

Single-Stage Reduction of Neglected Perilunate Dislocation: A Case Report

EABR. Experimental and Applied Biomedical Research

AHEAD OF PRINT

By: Miodrag Vranjes, Vedran Zigic and Nemanja Gvozdenovic

Open Access

|Feb 2024

Abstract

Neglected perilunate dislocations are rare and challenging injuries. We report a 59 days old perilunate dislocation in a 55 year old right-handed male. X-ray and CT imaging revealed a dorsal perilunate dislocation with no additional fractures and no increased density or microarchitectural collapse of the lunate or scaphoid. A single-stage open reduction and internal K-wire fixation procedure through a dorsal and volar approach was done. Eighteen months after the procedure, the patient was pain free during movement and had a ROM of 70%. His grip strength was 80.8% the opposite side and the Mayo wrist score was calculated 75. Full range of finger movement was achieved and he carried out his routine without any other complication.

References

Israel D, Delclaux S, André A, Apredoaei C, Rongières M, Bonnevialle P, et al. Peri-lunate dislocation and fracture- dislocation of the wrist: Retrospective evaluation of 65 cases. Orthop Traumatol Surg Res 2016;102(3): 351-5.
Search in Google Scholar Back to article
Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocations and fracture- dislocations: a multicenter study. J Hand Surg Am 1993;18(5):768-79.
Search in Google Scholar Back to article
Duckworth AD, Jenkins PJ, Aitken SA, Clement ND, Court-Brown CM, McQueen MM. Scaphoid fracture epidemiology. J Trauma Acute Care Surg 2012;72(2):E41-45.
Search in Google Scholar Back to article
Gaebler C, McQueen M. Carpus fractures and dislocations. In: Bucholz RW, editor. Rockwood and Green’s Fractures in Adults (7th ed). Wolters Kluwer; 2010. 781‑825.
Search in Google Scholar Back to article
Garg B, Goyal T, Kotwal PP. Staged reduction of neglected transscaphoid perilunate fracture dislocation: a report of 16 cases. J Orthop Surg Res 2012;7:19.
Search in Google Scholar Back to article
Massoud AHA, Naam NH. Functional outcome of open reduction of chronic perilunate injuries. J Hand Surg Am 2012;37(9):1852-60.
Search in Google Scholar Back to article
Lal H, Kakran R, Jangira V, Mittal D. Two stage procedure for neglected transscaphoid perilunate dislocation. Indian J Orthop 2012;46(3):351.
Search in Google Scholar Back to article
Inoue G, Shionoya K. Late treatment of unreduced perilunate dislocations. J Hand Surg Br 1999;24(2):221-5.
Search in Google Scholar Back to article
Komurcu M, Kürklü M, Ozturan KE, Mahirogullari M, Basbozkurt M. Early and Delayed Treatment of Dorsal Transscaphoid Perilunate Fracture-Dislocations. Journal of Orthopaedic Trauma 2008;22(8):535-40.
Search in Google Scholar Back to article
Siegert JJ, Frassica FJ, Amadio PC. Treatment of chronic perilunate dislocations. The Journal of Hand Surgery 1988;13(2):206-12.
Search in Google Scholar Back to article
Kailu L, Zhou X, Fuguo H. Chronic perilunate dislocations treated with open reduction and internal fixation: results of medium-term follow-up. International Orthopaedics (SICOT) 2010;34(8):1315-20.
Search in Google Scholar Back to article
Kremer T, Wendt M, Riedel K, Sauerbier M, Germann G, Bickert B. Open reduction for perilunate injuries clinical outcome and patient satisfaction. J Hand Surg Am 2010;35(10):1599-606.
Search in Google Scholar Back to article
Forli A, Courvoisier A, Wimsey S, Corcella D, Moutet F. Perilunate dislocations and transscaphoid perilunate fracture-dislocations: a retrospective study with minimum ten-year follow-up. J Hand Surg Am 2010;35(1): 62-8.
Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.2478/sjecr-2022-0031 | Journal eISSN: 2956-2090 (formerly 2335-075X, 2956-0454) | Journal ISSN: 2956-0454 (formerly 1820-8665)

Journal RSS Feed

Language: English

Submitted on: Nov 13, 2021

Accepted on: Feb 5, 2022

Published on: Feb 22, 2024

Published by: University of Kragujevac, Faculty of Medical Sciences

In partnership with: Paradigm Publishing Services

Keywords:

Perilunate dislocation,

wrist,

Related subjects:

Clinical medicine, other

© 2024 Miodrag Vranjes, Vedran Zigic, Nemanja Gvozdenovic, published by University of Kragujevac, Faculty of Medical Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

AHEAD OF PRINT