Irreducible trans-scaphoid perilunate dislocation |
| |
| Authors: | M S Jasmine J W Packer G S Edwards |
| |
| Institution: | Division of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill. |
| |
| Abstract: | Two cases of irreducible trans-scaphoid perilunate dislocation are described. In each case there was soft tissue interposition between the proximal and distal elements of the fracture-dislocation and this prevented capitolunate and scaphoid reduction. The dorsal capsule was impaled on the distal scaphoid fragment in one case, and a flap of dorsal capsule was entrapped between the capitate and the lunate in the other. In light of these findings, we recommend a dorsal approach for open reduction of trans-scaphoid perilunate dislocation when the capitolunate joint cannot be reduced by closed manipulation. |
| |
| Keywords: | |
|
|
