Perilunate Dislocation – Case Report and Review of Literature
Perilunate dislocations are rare injuries comprising of less than 10% of all wrist injuries. These usually occur after high-energy trauma to the wrist. One-fourth (25%) of perilunate dislocations are missed at the initial presentation. We report a case of perilunate dislocation in a patient who pr...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/10509/29750_CE(RA1)_F(T)_PF1(MJ_GG)_PFA(MJ_GG)_PF2(NE_MJ_AP).pdf |
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| author | Karthik Subramanian Bakul Arora Abhinav Bhatnagar Imran Jan |
| author_facet | Karthik Subramanian Bakul Arora Abhinav Bhatnagar Imran Jan |
| author_sort | Karthik Subramanian |
| collection | DOAJ |
| description | Perilunate dislocations are rare injuries comprising of less than 10% of all wrist injuries. These usually occur after high-energy
trauma to the wrist. One-fourth (25%) of perilunate dislocations are missed at the initial presentation. We report a case of perilunate
dislocation in a patient who presented late, about two months after trauma. He underwent open reduction through a single dorsal
approach and internal fixation with K-wires. Aggressive physiotherapy exercises were started after removal of K-wires. He regained
near normal full range of motions at the wrist by the end of four months and showed no recurrence of the dislocation. In conclusion,
perilunate dislocations should be considered as one of the important differential diagnosis in patients with history of high-energy
trauma to the wrist. Early diagnosis and treatment is necessary to prevent the potential risk of avascular necrosis of lunate and
scaphoid and secondary osteoarthritis. The best results can be obtained with open reduction and internal fixation with K-wires via
a single dorsal approach. |
| first_indexed | 2024-12-13T21:44:42Z |
| format | Article |
| id | doaj.art-cdfd1f9a1a5c48a08c4919be0454ef1b |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-13T21:44:42Z |
| publishDate | 2017-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-cdfd1f9a1a5c48a08c4919be0454ef1b2022-12-21T23:30:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-08-01118RD06RD0810.7860/JCDR/2017/29750.10509Perilunate Dislocation – Case Report and Review of LiteratureKarthik Subramanian0Bakul Arora1Abhinav Bhatnagar2Imran Jan3Consultant, Department of Orthopaedics, Hira Mongi Navneet Hospital, Mumbai, Maharashtra, India.Consultant, Department of Orthopaedics, Currae Hospital, Thane, Mumbai, Maharashtra, India.Consultant, Department of Orthopaedics, Abhinav Multispeciality Hospital, Nagpur, Maharashtra, India.Registrar, Department of Orthopaedics, Rajawadi Hospital, Mumbai, Maharashtra, India.Perilunate dislocations are rare injuries comprising of less than 10% of all wrist injuries. These usually occur after high-energy trauma to the wrist. One-fourth (25%) of perilunate dislocations are missed at the initial presentation. We report a case of perilunate dislocation in a patient who presented late, about two months after trauma. He underwent open reduction through a single dorsal approach and internal fixation with K-wires. Aggressive physiotherapy exercises were started after removal of K-wires. He regained near normal full range of motions at the wrist by the end of four months and showed no recurrence of the dislocation. In conclusion, perilunate dislocations should be considered as one of the important differential diagnosis in patients with history of high-energy trauma to the wrist. Early diagnosis and treatment is necessary to prevent the potential risk of avascular necrosis of lunate and scaphoid and secondary osteoarthritis. The best results can be obtained with open reduction and internal fixation with K-wires via a single dorsal approach.https://jcdr.net/articles/PDF/10509/29750_CE(RA1)_F(T)_PF1(MJ_GG)_PFA(MJ_GG)_PF2(NE_MJ_AP).pdfavascular necrosiscarpal injuriesdorsal approachwrist injuries |
| spellingShingle | Karthik Subramanian Bakul Arora Abhinav Bhatnagar Imran Jan Perilunate Dislocation – Case Report and Review of Literature Journal of Clinical and Diagnostic Research avascular necrosis carpal injuries dorsal approach wrist injuries |
| title | Perilunate Dislocation – Case Report and Review of Literature |
| title_full | Perilunate Dislocation – Case Report and Review of Literature |
| title_fullStr | Perilunate Dislocation – Case Report and Review of Literature |
| title_full_unstemmed | Perilunate Dislocation – Case Report and Review of Literature |
| title_short | Perilunate Dislocation – Case Report and Review of Literature |
| title_sort | perilunate dislocation case report and review of literature |
| topic | avascular necrosis carpal injuries dorsal approach wrist injuries |
| url | https://jcdr.net/articles/PDF/10509/29750_CE(RA1)_F(T)_PF1(MJ_GG)_PFA(MJ_GG)_PF2(NE_MJ_AP).pdf |
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