Dorsal trans-scaphoid perilunate dislocation in a 9-year-old child.
The authors reported on the surgical management of a trans-scaphoid retrolunate dislocation of the carpus associated with a stable styloid fracture of the radius and a displaced fracture of the triquetrum in a nine-year-old child. An open reduction of the dislocation and fixation using a screw inserted disto-proximally in the scaphoid were quickly carried out using a palmar approach. X-ray showed a good union nine months later. At 29 months the motion of the wrist was normal and pain-free, the strength was graded at 80 % in comparison to the contralateral side and the X-ray examination showed no carpal instability nor growth trouble. The authors discuss the mechanism of production and the therapeutic strategy.
Massicot
R
R
Service de Chirurgie Pédiatrique, CHU de Pointe à Pitre, Guadeloupe, France. richardmassicot@hotmail.com
Uzel
A P
AP
Céolin
J L
JL
Brouard
P
P
D001863:Bone Screws; D002348:Carpal Bones / Q000293:injuries / Q000601:surgery*; D002648:Child; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*