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Case Report
Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint: A Case Report
Chul-Hyung Kang, M.D., Ph.D., Chul-Hyun Cho, M.D., Ph.D., Dong-Wan Kim, M.D.
Journal of the Korean Fracture Society 2014;27(1):77-81.
DOI: https://doi.org/10.12671/jkfs.2014.27.1.77
Published online: January 17, 2014

Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea.

Address reprint requests to: Chul-Hyun Cho, M.D., Ph.D. Department of Orthopedic Surgery, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, oscho5362@dsmc.or.kr
• Received: September 25, 2013   • Revised: November 14, 2013   • Accepted: November 14, 2013

Copyright © 2014 The Korean Fracture Society. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Dorsal perilunar dislocations are rare traumatic entities. Associated fractures such as carpal bones and radial styloid processes can occur. However, the dorsal perilunar dislocation associated with dislocation of distal radioulnar joint is extremely rare. The authors herein report the case of a 34-year-old man who was presented with transscaphoidal perilunar dislocation which is associated with dislocation of distal radioulnar joint.
  • 1. Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures. Perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res, 1987;(214):136-147.
  • 2. Hénault B, Duvernay A, Tchurukdichian A, Trouilloud P, Malka G, Trost O. Posterior perilunate carpal dislocation associated with a multifragmentary distal radius fracture. J Plast Reconstr Aesthet Surg, 2010;63:1926-1928.Article
  • 3. Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am, 1993;18:768-779.
  • 4. Johnson RP. The acutely injured wrist and its residuals. Clin Orthop Relat Res, 1980;(149):33-44.Article
  • 5. Soejima O, Iida H, Naito M. Transscaphoid-transtriquetral perilunate fracture dislocation: report of a case and review of the literature. Arch Orthop Trauma Surg, 2003;123:305-307.ArticlePubMedPDF
  • 6. Stoffelen D, Fortems Y, De Smet L, Broos P. Dislocation of the distal radioulnar joint associated with a transstyloid radiocarpal fracture dislocation. A case report and review of the literature. Acta Orthop Belg, 1996;62:52-55.
Fig. 1
(A) Plain radiographs at initial trauma show the transscaphoidal dorsal perilunar dislocation associated with dislocation of distal radioulnar joint. (B) Contralateral radiographs.
jkfs-27-77-g001.jpg
Fig. 2
Plain radiographs and computed tomography after closed reduction show a comminuted fracture at waist and distal portion of the scaphoid.
jkfs-27-77-g002.jpg
Fig. 3
Postoperative radiographs show open reductions and internal fixations when using K-wires for the scaphoid fracture and percutaneous K-wire transfixation for the dislocation of distal radioulnar joint.
jkfs-27-77-g003.jpg
Fig. 4
Radiographs at 15 months after surgery show bony unions without carpal instability.
jkfs-27-77-g004.jpg
Fig. 5
Photographs at 15 months after surgery show normal range of motion.
jkfs-27-77-g005.jpg

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        Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint: A Case Report
        J Korean Fract Soc. 2014;27(1):77-81.   Published online January 31, 2014
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      Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint: A Case Report
      Image Image Image Image Image
      Fig. 1 (A) Plain radiographs at initial trauma show the transscaphoidal dorsal perilunar dislocation associated with dislocation of distal radioulnar joint. (B) Contralateral radiographs.
      Fig. 2 Plain radiographs and computed tomography after closed reduction show a comminuted fracture at waist and distal portion of the scaphoid.
      Fig. 3 Postoperative radiographs show open reductions and internal fixations when using K-wires for the scaphoid fracture and percutaneous K-wire transfixation for the dislocation of distal radioulnar joint.
      Fig. 4 Radiographs at 15 months after surgery show bony unions without carpal instability.
      Fig. 5 Photographs at 15 months after surgery show normal range of motion.
      Transscaphoidal Dorsal Perilunar Dislocation Associated with Dislocation of Distal Radioulnar Joint: A Case Report

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