title: Established non-union of an operatively managed trans-scaphoid perilunate fracture dislocation progressing to spontaneous union.
abstract: Perilunate dislocations and fracture dislocations represent uncommon and unusual injuries that are often missed at initial presentation and diagnosed late in up to 25% of cases. Prompt open reduction, carpal stabilisation and ligamentous repair is required to reduce the risk of complications. We report a case of an established scaphoid non-union in an operatively managed perilunate fracture dislocation that spontaneously united almost 2 years after the initial injury, just before a planned revision scaphoid fixation with bone grafting. This case highlights the importance of initial clinical assessment together with appropriate radiographs and follow-up of these injuries post-operatively, especially when complications such as non-union arise.
authors: Department of Orthopaedic Surgery, Inverclyde Royal Hospital, Larkfield Road, Greenock PA16 0XN, UK. hiren.divecha@doctors.org.uk
authors: Hiren M
authors: HM
authors: Divecha
authors: Jon V
authors: JV
authors: Clarke
authors: Steven J
authors: SJ
authors: Barnes
mesh_terms: D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008297:Male; D011859:Radiography; D012075:Remission, Spontaneous; D012086:Reoperation; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D013997:Time Factors; D055815:Young Adult