Translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation. A case report.
A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.
D000063:Accidents, Traffic; D000293:Adolescent; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography