Trans-scaphoid perilunate dislocation with fractured carpal bones in a child.
Transcarpal fractures and dislocations in children are rarely reported in the orthopedics literature. This is a report of a 10-year-old boy who sustained a trans-scaphoid perilunate dislocation with fractures across the carpal structure: these included injuries to the scaphoid, capitate and triquetrum bones. Treatment consisted in a closed reduction for the dislocation and using the dorsal approach of an open reduction with internal fixation of the fractures. The injury healed well with a full return of good wrist function. This unusual pattern of injury is described so that it may be more readily appreciated in the future.
Ji
J-H
JH
Department of Orthopaedic Surgery, The Catholic University of Korea, Daejon St.Mary's Hospital, 502-2, Daehung-Dong, Joong-Ku, Daejeon 302-803, South Korea.
Shafi
M
M
Moon
C-Y
CY
Park
S-E
SE
D000058:Accidental Falls; D051224:Capitate Bone / Q000293:injuries / Q000601:surgery; D050824:Carpal Joints / Q000293:injuries / Q000601:surgery; D002648:Child; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery; D018737:Hand Strength; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012667:Lunate Bone / Q000293:injuries / Q000601:surgery; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods; D011885:Radius Fractures / Q000601:surgery; D016059:Range of Motion, Articular; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D051221:Triquetrum Bone / Q000293:injuries / Q000601:surgery; D014458:Ulna Fractures / Q000601:surgery