| Autor: |
Monsef El Abdi, Adil Lamkhanter |
| Jazyk: |
English<br />French |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
The Pan African Medical Journal, Vol 21, Iss 289 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
1937-8688 |
| DOI: |
10.11604/pamj.2015.21.289.6678 |
| Popis: |
A 32 year old man, right-handed soldier, was admitted to Emergency Department two hours after undergoing right wrist injury following a 2 meter fall onto the hand, in hyperextension. Clinical examination revealed a deformity of the wrist with an obvious open lunate enucleation (A). The neurovascular status was intact. Standard radiograph of the wrist demonstrated a completely enucleated lunate, associated with scaphoid and radial styloid fracture (B). Computed tomography (CT) scan confirmed diagnosis of trans-radial styloid, trans-scaphoid, perilunate dislocation (C and D). The lunate enucleation was treated by open reduction through a volar approach and internal fixation of associated injuries. Wrist reduction was maintained using K-wires placed through the scapholunate and scaphocapitate. The material was removed after 3 months. The control during one year postoperatively, there was no evidence of complications. The patient had a comfortable range of motion in his right wrist. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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