title: [Therapy of old carpal dislocations and dislocation-fractures and its results].
abstract: Carpal fractures and dislocations are rare. Pitfalls in the diagnosis of these injuries are quite common failures. A follow up study in 10 patients with carpal injuries was done. Good results were found in five patients. These had been treated within 2-3 weeks. Another 5 patients had not been operated earlier than 2-17 months after the injury. In these cases the results were poor, because either the lunate must be removed or replaced by a prosthesis or was destroyed by avascular necrosis. The possibilities of early diagnosis and the methods of therapy are discussed.
mesh_terms: D001858:Bone Nails; D002348:Carpal Bones / Q000000981:diagnostic imaging; D002370:Casts, Surgical; D005260:Female; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D019736:Prostheses and Implants; D011859:Radiography
vernacular_title: Therapie veralteter Luxationen und Luxationsfrakturen der Handwurzel und deren Ergebnisse.