Irreducible trans-scaphoid perilunate dislocation

Autor: John W. Packer, George S. Edwards, Mark S. Jasmine
Rok vydání: 1988
Předmět:
Zdroj: The Journal of hand surgery. 13(2)
ISSN: 0363-5023
Popis: Two cases of irreducible trans-scaphoid perilunate dislocation are described. In each case there was soft tissue interposition between the proximal and distal elements of the fracture-dislocation and this prevented capitolunate and scaphoid reduction. The dorsal capsule was impaled on the distal scaphoid fragment in one case, and a flap of dorsal capsule was entrapped between the capitate and the lunate in the other. In light of these findings, we recommend a dorsal approach for open reduction of trans-scaphoid perilunate dislocation when the capitolunate joint cannot be reduced by closed manipulation.
Databáze: OpenAIRE