Rhind John-Henry, Gulihar Abhinav, Smith Andrew
Princess Royal Hopsital, United Kingdom.
East Kent Hospitals, United Kingdom.
Trauma Case Rep. 2018 Feb 1;14:27-30. doi: 10.1016/j.tcr.2018.01.003. eCollection 2018 Apr.
Perilunate dislocations and perilunate fracture dislocations are rare and serious injuries. Perilunate dislocations represent less than 10% of all carpal injuries of which 61% represent transcaphoid fractures. Because of their rarity, up to 25% of perilunate dislocations are initially missed on first assessment. We present the case of a 66-year-old-gentleman who sustained an isolated trans-triquetral perilunate fracture dislocation while walking his dog. This was diagnosed in the emergency department and he underwent open reduction internal fixation after failed attempts at closed reduction in the ED and in theatre under general anaesthesia. After further removal of his Kirschner wires and physiotherapy he is noted to have had a successful outcome with his treatment at 9 months follow up post operatively. We found that this is the first case of it's kind reported in the literature highlighting the rarity of this injury pattern.
月骨周围脱位和月骨周围骨折脱位是罕见且严重的损伤。月骨周围脱位占所有腕骨损伤的比例不到10%，其中61%为经舟骨骨折。由于其罕见性，高达25%的月骨周围脱位在初次评估时最初被漏诊。我们报告了一例66岁男性病例，他在遛狗时发生了孤立的经三角骨月骨周围骨折脱位。该病例在急诊科被诊断出来，在急诊科及全麻下于手术室进行闭合复位失败后，他接受了切开复位内固定术。在进一步取出克氏针并进行物理治疗后，术后9个月随访时发现他的治疗取得了成功。我们发现这是文献中报道的首例此类病例，凸显了这种损伤模式的罕见性。
