Long-term follow-up of an undiagnosed trans-scaphoid perilunate dislocation demonstrating articular remodeling and functional adaptation.
The most common perilunate dislocation is the trans-scaphoid dorsal perilunate variant. It is estimated that up to 25% of perilunate injuries are diagnosed late. We report 66-year follow-up of an unreduced, previously undiagnosed trans-scaphoid perilunate dislocation of the wrist. At follow-up, unique post-traumatic articular remodeling was seen on wrist radiographs, and the patient had only a mild functional deficit.
Bathala
Elizabeth A
EA
Department of Diagnostic Radiology, Mayo Clinic, Jacksonville, FL 32224, USA.
Murray
Peter M
PM
D000222:Adaptation, Physiological / Q000502:physiology*; D000369:Aged, 80 and over; D016723:Bone Remodeling / Q000502:physiology*; D050824:Carpal Joints / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000503:physiopathology; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology*; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology*; D014955:Wrist Joint / Q000503:physiopathology