title: Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report.
abstract: We describe an unusual case of trans-scaphoid perilunate injury where the proximal half of the scaphoid avulsed from all attaching ligaments and extruded into the forearm. Treatment involved anatomic reduction and internal fixation of the fracture, scapholunate (SL) ligament repair, temporary K-wire fixation, and prolonged immobilization. At 19-month follow-up, the fracture healed, SL ligament remained intact, and the patient recovered much of his hand function.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0724 USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Moody
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0724 USA.
authors.forename: Andrew Y
authors.initials: AY
authors.lastname: Zhang
keywords: Perilunate fracture dislocation; Perilunate injury; Trans-scaphoid perilunate avulsion fracture; Treatment of trans-scaphoid perilunate avulsion fracture