The unreduced carpal dislocation. A method of treatment.
Unreduced lunate, perilunate, and transscaphoid perilunate dislocations present a difficult and challenging surgical problem. The authors feel that all efforts should be made to obtain a reduction of the old dislocation. They support a combined dorsal and palmar approach, open reduction, and internal fixation of scaphoid with a Herbert screw to obtain midcarpal stability. A carpal tunnel decompression should be performed if symptoms suggest median nerve entrapment. When the dislocation is unable to be reduced, the authors favor limited wrist arthrodesis or a proximal row carpectomy in the absence of significant arthritis.
D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000379:methods; D001863:Bone Screws; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013180:Sprains and Strains / Q000000981:diagnostic imaging; D013708:Tendon Injuries; D013710:Tendons / Q000601:surgery