Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint - A Case Report -

Chul-Hyung Kang; Chul-Hyun Cho; Dong-Wan Kim

doi:10.12671/jkfs.2014.27.1.77

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

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

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

Case Report

Journal of the Korean Fracture Society 2014; 27(1): 77-81.

Published online: 17 January 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.1.77

Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint - A Case Report -

Chul-Hyung Kang, M.D., Ph.D., Chul-Hyun Cho, M.D., Ph.D., Dong-Wan Kim, M.D.

Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea.

Address reprint requests to: Chul-Hyun Cho, M.D., Ph.D. Department of Orthopedic Surgery, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, oscho5362@dsmc.or.kr

Received 25 September 2013 Revised 14 November 2013 Accepted 14 November 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Lunate bone, Scaphoid bone, Distal radioulnar joint, Dislocations

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.

Fig. 2

Plain radiographs and computed tomography after closed reduction show a comminuted fracture at waist and distal portion of the scaphoid.

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.

Fig. 4

Radiographs at 15 months after surgery show bony unions without carpal instability.

Fig. 5

Photographs at 15 months after surgery show normal range of motion.

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.

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.

4. Johnson RP. The acutely injured wrist and its residuals. Clin Orthop Relat Res. 1980; (149):33–44.

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.

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