Journal List > J Korean Fract Soc > v.27(1) > 1038014

Kang, Cho, and Kim: Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint - A Case Report -

Abstract

Dorsal perilunar dislocations are rare traumatic entities. Associated fractures such as carpal bones and radial styloid processes can occur. However, the dorsal perilunar dislocation associated with dislocation of distal radioulnar joint is extremely rare. The authors herein report the case of a 34-year-old man who was presented with transscaphoidal perilunar dislocation which is associated with dislocation of distal radioulnar joint.

Figures and Tables

Fig. 1
(A) Plain radiographs at initial trauma show the transscaphoidal dorsal perilunar dislocation associated with dislocation of distal radioulnar joint. (B) Contralateral radiographs.
jkfs-27-77-g001
Fig. 2
Plain radiographs and computed tomography after closed reduction show a comminuted fracture at waist and distal portion of the scaphoid.
jkfs-27-77-g002
Fig. 3
Postoperative radiographs show open reductions and internal fixations when using K-wires for the scaphoid fracture and percutaneous K-wire transfixation for the dislocation of distal radioulnar joint.
jkfs-27-77-g003
Fig. 4
Radiographs at 15 months after surgery show bony unions without carpal instability.
jkfs-27-77-g004
Fig. 5
Photographs at 15 months after surgery show normal range of motion.
jkfs-27-77-g005

References

1. Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures. Perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res. 1987; (214):136–147.
2. Hénault B, Duvernay A, Tchurukdichian A, Trouilloud P, Malka G, Trost O. Posterior perilunate carpal dislocation associated with a multifragmentary distal radius fracture. J Plast Reconstr Aesthet Surg. 2010; 63:1926–1928.
crossref
3. 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; 18:768–779.
crossref
4. Johnson RP. The acutely injured wrist and its residuals. Clin Orthop Relat Res. 1980; (149):33–44.
crossref
5. Soejima O, Iida H, Naito M. Transscaphoid-transtriquetral perilunate fracture dislocation: report of a case and review of the literature. Arch Orthop Trauma Surg. 2003; 123:305–307.
crossref
6. Stoffelen D, Fortems Y, De Smet L, Broos P. Dislocation of the distal radioulnar joint associated with a transstyloid radiocarpal fracture dislocation. A case report and review of the literature. Acta Orthop Belg. 1996; 62:52–55.
TOOLS
Similar articles