Interscapholunate carpal axial dislocation
We present a case of a patient presenting a right wrist injury due to a motor vehicule accident. X-rays and CT Scan showed transcapholunate axial dislocation with the capitate impacted between the scaphoid and the lunate without perilunate dislocation. This injury was associated to a fracture of rad...
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| Other Authors: | , |
| Format: | article |
| Published: |
2000
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| Online Access: | http://hdl.handle.net/10725/10961 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://europepmc.org/abstract/med/10804418 |
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| Summary: | We present a case of a patient presenting a right wrist injury due to a motor vehicule accident. X-rays and CT Scan showed transcapholunate axial dislocation with the capitate impacted between the scaphoid and the lunate without perilunate dislocation. This injury was associated to a fracture of radial styloid process, trapezium, triquetrum, hamate, and a pisotriquetral and intermetacarpal dissociation. We did not find any similar case in French or English litterature. Treatment associated closed reduction and percutaneous pinning. At one year follow-up the wrist was painless with a normal range of motion. This lesion contributes to the understanding of carpal injuries mechanism. Capitate ascension within the scapholunar joint due to an important compression force is a pathogenic factor of scapholunate dissociation. |
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