Trans-scaphoid lunate dislocation: A case series

Abstract

Trans-scaphoid lunate dislocation with volar displacement into the wrist/distal forearm is a devastating injury that most commonly occurs under situations of forceful impact to an extended wrist. Due to ligamentous disruption as well as fragile blood supply, these Mayfield type 4 injuries are associated with significant morbidity and long-term sequelae. Current treatment approaches to lunate dislocations depend on the severity and chronicity of the injury in addition to patient factors, with operative management potentially including ORIF or proximal row carpectomy. We report 5 cases of this rare injury pattern in 4 different patients.

Dorsal spanning plate fixation in perilunate injuries: a case report

“…DSP use in PLDs in the more acute setting has yet to be reported. Acute management of perilunate injuries is paramount as tissue distortion, scarring, ligament contraction, and vascular supply disruption can affect fixation success and the ability to perform ligamentous repair [ 1 , 8 , 15 , 16 , 18 ]. In our report, the patient presented with an isolated upper extremity injury and underwent definitive fixation within 24 h.…”

“…In their case series, Gjeluci et al. presented five patients with trans-scaphoid LDs, one of which was treated with bilateral proximal row carpectomy stabilized with DSPs [ 15 ]. Kastanis et al.…”