Trans-Scaphoid Perilunate Fracture Dislocation. Case series
DOI:
https://doi.org/10.25214/28056272.1654Keywords:
Wrist, Carpal Joints, Fracture Dislocation, Mobility Limitation, TreatmentAbstract
The carpal joint is biomechanically one of the most complex; this is composed of several osteoligamen- tous structures responsible for its stability and whose alteration can generate pure ligamentous carpal instability or in association with bone injury;in the spectrum of these injuries we can nd the trans- scaphoperilunate fracture dislocation (TEPLFD), a potentially devastating injury. An early diagnosis and adequate treatment are crucial for a better prognosis.
Objective: Review the current literature on traumatic TEPLFD, presenting a series of cases and the authors’ experience in its management.
Methodology: Between 2019 and 2022, 6 patients with di erent types of TEPLFD were evaluated ret- rospectively, their medical histories and surgical protocols were analyzed, with follow-up at 24 months. Results: 100% male, mean age 22 to 28 years, history of motorcycle accident, 5 acute injuries and one chronic; average follow-up: 24 months; functional results: exion 58° (52° to 75°), extension 56° (45° to 70°), pronation 65° (60° to 70°), supination 60° (55° to 70°). Functional scales: DASH 12 months: 16.75 points (range 7.5 to 27.5), PRWE 12 months: 18.42 points (range 15 to 22), average VAS of 2 points that translates into mild pain.
Conclusion: TEPLFD are rare and potentially devastating lesions, requiring high diagnostic suspicion. These injuries must be treated early allowing optimal bone reduction and ligament repair.
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