Established non-union of an operatively managed trans-scaphoid perilunate fracture dislocation progressing to spontaneous union

Perilunate dislocations and fracture dislocations represent uncommon and unusual injuries that are often missed at initial presentation and diagnosed late in up to 25% of cases. Prompt open reduction, carpal stabilisation and ligamentous repair is required to reduce the risk of complications. We rep...

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Bibliographic Details
Published in:Journal of orthopaedics and traumatology 2011-09, Vol.12 (3), p.159-162
Main Authors: Divecha, Hiren M., Clarke, Jon V., Barnes, Steven J.
Format: Article
Language:English
Subjects:
Case Report
Conservative Orthopedics
Fracture Healing
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Humans
Joint Dislocations - diagnostic imaging
Joint Dislocations - surgery
Lunate Bone - diagnostic imaging
Lunate Bone - injuries
Lunate Bone - surgery
Male
Medicine
Medicine & Public Health
Orthopedics
Radiography
Remission, Spontaneous
Reoperation
Rheumatology
Scaphoid Bone - diagnostic imaging
Scaphoid Bone - injuries
Scaphoid Bone - surgery
Sports Medicine
Surgical Orthopedics
Time Factors
Traumatic Surgery
Young Adult
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Summary:Perilunate dislocations and fracture dislocations represent uncommon and unusual injuries that are often missed at initial presentation and diagnosed late in up to 25% of cases. Prompt open reduction, carpal stabilisation and ligamentous repair is required to reduce the risk of complications. We report a case of an established scaphoid non-union in an operatively managed perilunate fracture dislocation that spontaneously united almost 2 years after the initial injury, just before a planned revision scaphoid fixation with bone grafting. This case highlights the importance of initial clinical assessment together with appropriate radiographs and follow-up of these injuries post-operatively, especially when complications such as non-union arise.
ISSN:1590-9921
1590-9999
DOI:10.1007/s10195-011-0143-1