Perilunar dislocation of the wrist, adequate method of treatment
Authors:
Jaroslav Pilný; Aleš Švarc; Petr Hoza; Pavel Petera; Petr Kubena
Authors‘ workplace:
University of Pardubice, Faculty Medical Studies
; Univerzita Pardubice, Fakulta zdravotnických studií
; Department of Orthopaedics Surgery, Regional Hospital Pardubice
; Ortopedické oddělení, Pardubická krajská nemocnice, a. s.
Published in:
Úraz chir. 18., 2010, č.1
Overview
The aim of this work was to evaluate the results of treatment of perilunar dislocation of the wrist.
Patient file:
Authors present their results of treating a file of 7 patients with perilunar dislocation of the wrist and 2 patients with transscap-hoperilunar carpal dislocation during the 2006-2008 period. All patients were male with average age of 31.4 years old (19-46). For 6 of 9 patients the dominant hand was affected.
Methodology:
Primary reposition was carried out in all cases and subsequently the reconstruction of interosseous ligaments using the dorsal approach and volar capsuar ligaments using the volar approach were carried out. Results were evaluated after 26 months in average.
Results:
When evaluating the results we learned that the range of movement reached 72.6 % compared to the other side and the grip force about 73.1% compared to the other hand. 4 patients felt no pain, 2 felt pain during great load, 2 during workaday load and 1 indicated resting state pain. Treatment of this patient was complicated with algoneurodystrophy syndrome. 6 patients were able to return to day-to-day load.
Conclusion:
Adequate treatment of perilunar dislocation of the wrist leads to good results, when correctly and timely diagnosed. Such serious cases should be treated at specialized centers.
Key words:
perilunar dislocation, transscapho-perilunar carpal dislocation.
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