title: [Importance of early diagnosis and operative treatment for trans-scaphoid perilunate dislocation].
abstract: OBJECTIVE
  To evaluate the effectiveness of open reduction and internal fixation and repair of palmar ligment in treating trans-scaphoid perilunate dislocation.
  
  
  METHODS
  From June 1995 to June 2001,14 patients with trans-scaphoid perilunate dislocation were treated with open reduction and internal fixation and repair of palmar ligment. Among them,there were 13 males and 1 female,the ranging in age from 21 to 38 years,averaged 25.4 years. All patients were posterior dislocation and all operations were performed within 2 weeks after injury.
  
  
  RESULTS
  All patients were followed up from 24 to 60 months with an average of 28.3 months. Thirteen scaphoid fractures were primary healed and functions of wrist joint were good. Bone disunion was found in 1 case and part functions of wrist joint were limited. No found necrosis of lunate and scaphoid. According to clinical scoring system of Cooney, 9 case got excellent results, 3 good, 1 fair and 1 poor.
  
  
  CONCLUSIONS
  Open reduction and internal fixation and repair of palmar ligament is effective in treating trans-scaphoid perilunate dislocation,which can early provide steady fixation for scaphoid,and profit to recover blood supply of lunatum and subterminal scaphoid.
authors: Department of Orthopaedics, the 309th Hospital of PLA, Beijing 100091, China. changqing309gk@sina.com
authors: Xun-wu
authors: XW
authors: Huang
authors: Guang-sen
authors: GS
authors: Wu
authors: Chang-liang
authors: CL
authors: Jiang
authors: De-yi
authors: DY
authors: Liu
authors: Hai-chao
authors: HC
authors: Liu
mesh_terms: D000328:Adult; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D012667:Lunate Bone / Q000293:injuries* / Q000503:physiopathology; D008297:Male; D020127:Recovery of Function; D021361:Scaphoid Bone / Q000293:injuries* / Q000503:physiopathology; D016896:Treatment Outcome; D055815:Young Adult