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The surgical outcomes of trans-scaphoid perilunate fracture-dislocations
BACKGROUND/AIM: Trans-scaphoid perilunate fracture-dislocation (TSPFD) is a rare injury. TSPFD is a fracture-dislocation that severely disrupts the anatomical structure of the carpal bones and may occur as a result of a high energy trauma of the wrist or a fall on an open hand. In this study, the ai...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Scientific and Technological Research Council of Turkey
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080362/ https://www.ncbi.nlm.nih.gov/pubmed/31655521 http://dx.doi.org/10.3906/sag-1710-163 |
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author | KURAL, Cemal TANRIVERDİ, Bülent ERÇİN, Ersin BACA, Emre YILMAZ, Murat |
author_facet | KURAL, Cemal TANRIVERDİ, Bülent ERÇİN, Ersin BACA, Emre YILMAZ, Murat |
author_sort | KURAL, Cemal |
collection | PubMed |
description | BACKGROUND/AIM: Trans-scaphoid perilunate fracture-dislocation (TSPFD) is a rare injury. TSPFD is a fracture-dislocation that severely disrupts the anatomical structure of the carpal bones and may occur as a result of a high energy trauma of the wrist or a fall on an open hand. In this study, the aim is to provide midterm clinical and radiological evaluations of cases diagnosed and treated as TSPFD. MATERIALS AND METHODS: Eleven patients diagnosed with TSPFD as a result of wrist trauma were treated surgically and were analysed retrospectively. Clinical and radiological follow-up of the cases was evaluated. The mean age of the patients was 34 years. All patients were males with a dorsal dislocation according to Herzberg’s perilunate fracture-dislocation classification. The mean follow-up time was 33 months. All of the cases were evaluated with preoperative and postoperative standard wrist anteroposterior and lateral radiographs. A dorsal approach was used in all cases. However, in 1 case a volar approach was also required. The Green and O’Brien evaluation scale modified by Cooney was used for the clinical assessment of pain, wrist range of motion, grip strength, and functional status as excellent, good, moderate, or poor. The wrist range of motion was evaluated goniometrically at the final check-up, and a mid-grade disability was observed compared with the uninjured side. A visual analogue scale was used to evaluate the pain. RESULTS: Sufficient union was obtained in all cases with open reduction and internal fixation of the fractures. Grip strength was up to 77.5% of the other side. According to the modified Green and O’Brien clinical evaluation scale, 6 cases were evaluated as good, 3 cases were fair, and 2 cases were poor. No median nerve damage was determined preoperatively or postoperatively and there was no postoperative pin tract infection in any of the patients. CONCLUSION: This kind of injury represents complex biomechanical damage of the wrist anatomy. If it is diagnosed early and treated with open reduction and stable fixation, a functionally adequate and anatomically integrated wrist can be achieved. |
format | Online Article Text |
id | pubmed-7080362 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Scientific and Technological Research Council of Turkey |
record_format | MEDLINE/PubMed |
spelling | pubmed-70803622020-03-23 The surgical outcomes of trans-scaphoid perilunate fracture-dislocations KURAL, Cemal TANRIVERDİ, Bülent ERÇİN, Ersin BACA, Emre YILMAZ, Murat Turk J Med Sci Article BACKGROUND/AIM: Trans-scaphoid perilunate fracture-dislocation (TSPFD) is a rare injury. TSPFD is a fracture-dislocation that severely disrupts the anatomical structure of the carpal bones and may occur as a result of a high energy trauma of the wrist or a fall on an open hand. In this study, the aim is to provide midterm clinical and radiological evaluations of cases diagnosed and treated as TSPFD. MATERIALS AND METHODS: Eleven patients diagnosed with TSPFD as a result of wrist trauma were treated surgically and were analysed retrospectively. Clinical and radiological follow-up of the cases was evaluated. The mean age of the patients was 34 years. All patients were males with a dorsal dislocation according to Herzberg’s perilunate fracture-dislocation classification. The mean follow-up time was 33 months. All of the cases were evaluated with preoperative and postoperative standard wrist anteroposterior and lateral radiographs. A dorsal approach was used in all cases. However, in 1 case a volar approach was also required. The Green and O’Brien evaluation scale modified by Cooney was used for the clinical assessment of pain, wrist range of motion, grip strength, and functional status as excellent, good, moderate, or poor. The wrist range of motion was evaluated goniometrically at the final check-up, and a mid-grade disability was observed compared with the uninjured side. A visual analogue scale was used to evaluate the pain. RESULTS: Sufficient union was obtained in all cases with open reduction and internal fixation of the fractures. Grip strength was up to 77.5% of the other side. According to the modified Green and O’Brien clinical evaluation scale, 6 cases were evaluated as good, 3 cases were fair, and 2 cases were poor. No median nerve damage was determined preoperatively or postoperatively and there was no postoperative pin tract infection in any of the patients. CONCLUSION: This kind of injury represents complex biomechanical damage of the wrist anatomy. If it is diagnosed early and treated with open reduction and stable fixation, a functionally adequate and anatomically integrated wrist can be achieved. The Scientific and Technological Research Council of Turkey 2020-02-13 /pmc/articles/PMC7080362/ /pubmed/31655521 http://dx.doi.org/10.3906/sag-1710-163 Text en Copyright © 2019 The Author(s) This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Article KURAL, Cemal TANRIVERDİ, Bülent ERÇİN, Ersin BACA, Emre YILMAZ, Murat The surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
title | The surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
title_full | The surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
title_fullStr | The surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
title_full_unstemmed | The surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
title_short | The surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
title_sort | surgical outcomes of trans-scaphoid perilunate fracture-dislocations |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080362/ https://www.ncbi.nlm.nih.gov/pubmed/31655521 http://dx.doi.org/10.3906/sag-1710-163 |
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