Volume 24, Number 4 (2-2011)                   Med J Islam Repub Iran 2011 | Back to browse issues page

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Shariatzadeh H, Jafari D, Ramezan Shirazi M, Ghorban Hoseini M. Trans-scaphoid and trans-capitate perilunate fracture-dislocation of the wrist with concomitant ipsilateral fractures: a case report. Med J Islam Repub Iran. 2011; 24 (4) :241-245
URL: http://mjiri.iums.ac.ir/article-1-224-en.html

Abstract:   (3110 Views)


All perilunate fracture-dislocations combine bone avulsions, ligament disruption

and fractures in different forms. The most frequent pattern is the dorsal transscaphoid

perilunate fracture-dislocation. The reported risk of missed initial diagnosis

in perilunate dislocations is as high as 20%. Concerning pathomechanics of the

perilunate fracture-dislocation, it should be noted that most dorsal injuries usually result

from a fall on the outstretched hand or motor vehicle accidents although other

mechanisms are also mentioned. We describe here a case of dorsal trans-scaphoid

trans-capitate perilunate fracture-dislocation together with posterior olecranon fracture-

dislocation of the left upper extremity. To the best of the authors' knowledge,

such a case with this concomitant elbow fracture-dislocation has not been previously

reported in the literature.

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Type of Study: case report | Subject: Trauma Surgery