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Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion
Perilunate fracture dislocations are a rare but devastating injury, which is often missed on initial presentation leading to significant delays in treatment. With the delay in treatment and a high energy mechanism of injury, patients are at increased risk of developing complex regional pain syndrome...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989276/ https://www.ncbi.nlm.nih.gov/pubmed/29951332 http://dx.doi.org/10.1155/2018/8397638 |
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author | Matthewson, Graeme Larrivee, Samuel Clark, Tod |
author_facet | Matthewson, Graeme Larrivee, Samuel Clark, Tod |
author_sort | Matthewson, Graeme |
collection | PubMed |
description | Perilunate fracture dislocations are a rare but devastating injury, which is often missed on initial presentation leading to significant delays in treatment. With the delay in treatment and a high energy mechanism of injury, patients are at increased risk of developing complex regional pain syndrome following trauma. In this report, we review the case of a 57-year-old left-hand dominant female who presented to a clinic with a five-and-a-half-week-old transtriquetral, perilunate fracture dislocation with comminution of the scaphoid facet. Due to the increased likelihood of a secondary procedure and low probability of a satisfactory outcome with open reduction internal fixation secondary to the loss of the scaphoid articulation, a salvage procedure was deemed her best option. To our knowledge, this is the first case reported in the literature in which a scaphoidectomy, triquetromy, and midcarpal fusion (three-corner fusion) was performed in the acute setting for a perilunate fracture dislocation. |
format | Online Article Text |
id | pubmed-5989276 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-59892762018-06-27 Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion Matthewson, Graeme Larrivee, Samuel Clark, Tod Case Rep Orthop Case Report Perilunate fracture dislocations are a rare but devastating injury, which is often missed on initial presentation leading to significant delays in treatment. With the delay in treatment and a high energy mechanism of injury, patients are at increased risk of developing complex regional pain syndrome following trauma. In this report, we review the case of a 57-year-old left-hand dominant female who presented to a clinic with a five-and-a-half-week-old transtriquetral, perilunate fracture dislocation with comminution of the scaphoid facet. Due to the increased likelihood of a secondary procedure and low probability of a satisfactory outcome with open reduction internal fixation secondary to the loss of the scaphoid articulation, a salvage procedure was deemed her best option. To our knowledge, this is the first case reported in the literature in which a scaphoidectomy, triquetromy, and midcarpal fusion (three-corner fusion) was performed in the acute setting for a perilunate fracture dislocation. Hindawi 2018-05-23 /pmc/articles/PMC5989276/ /pubmed/29951332 http://dx.doi.org/10.1155/2018/8397638 Text en Copyright © 2018 Graeme Matthewson et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Matthewson, Graeme Larrivee, Samuel Clark, Tod Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion |
title | Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion |
title_full | Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion |
title_fullStr | Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion |
title_full_unstemmed | Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion |
title_short | Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion |
title_sort | case report of an acute complex perilunate fracture dislocation treated with a three-corner fusion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989276/ https://www.ncbi.nlm.nih.gov/pubmed/29951332 http://dx.doi.org/10.1155/2018/8397638 |
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