[Imageology analysis of perilunar dislocation and its clinical application].
OBJECTIVE
To analyze imageology manifestation of perilunar dislocation, to improve recognition and diagnose of the perilunar dislocation.


METHODS
Fifty-six patients suffered from perilunar dislocation injuries were selected in our group, fifty-five male and one female, ranging in age from 18 to 47 years, with an average of 32.4 years. Roentgenograph, thin slice multi-spiral CT scanning, three dimensional reconstruction (3D) and multi-planar reconstruction (MPR) were underwent for patients before and after surgery.


RESULTS
Thin slice multi-spiral CT thinner scanning and reconstruction provided clear images for all subjects, in which 56 patients had dorsal perilunate dislocations, 11 patients had transscaphoid perilunate dislocations, 10 patients had perilunar dislocation without carpus fractures, 26 patients had perilunar dislocation through centrale and pyramidal bone (one combined with avulsion fracture of pisiform bone), 6 patients had trans triangular bone perilunar dislocation, 3 patients had trans capitate bone perilunar dislocation, 24 patients had perilunar dislocation combined with distal fractures of radial and ulnar, 4 patients had perilunar dislocation combined with dislocation of wrist joint.


CONCLUSIONS
To be familiar with normal imageology anatomy of wrist joint and to master imageology characteristic of all types of perilunar dislocation are the basis of final diagnosis and prompt treatment. The thin slice multi-spiral CT scanning, three dimensional reconstruction (3D) and multi-planar reconstruction (MPR) provide clear images to diagnose the details of perilunar dislocation, and to select the therapeutic regimen. So it can be the first eikonic choice for perilunar dislocation.
Hua
Qun
Q
Medical Imaging Department, the 6th Hospital of Ningbo, Ningbo 315040, Zhejiang, China. lijuan301@nbip.net
Hu
Yong
Y
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014954:Wrist Injuries / Q000000981:diagnostic imaging* / Q000601:surgery; D014955:Wrist Joint / Q000000981:diagnostic imaging; D055815:Young Adult