Perilunate Injury Combined with Lunate Fracture

Park,  Hyun Soo; Kim,  Sung Jae; Park,  Sung Bae; Lee,  Kwang Hyun

doi:2017.22.2.117

Search: J Korean Surgery Hand Soc Search

CLOSE

Arch Hand Microsurg > Volume 22(2); 2017 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2017;22(2):117-121.
Published online June 30, 2017.
DOI: https://doi.org/10.12790/jkssh.2017.22.2.117

Perilunate Injury Combined with Lunate Fracture

Hyun Soo Park, Sung Jae Kim, Sung Bae Park, Kwang Hyun Lee

¹Department of Orthopedic Surgery, Hanil General Hospital, Seoul, Korea.
²Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
³Department of Orthopaedic Surgery, Hanyang University Hospital, Seoul, Korea. leegh@hanyang.ac.kr

Received: 30 October 2016 • Revised: 7 March 2017 • Accepted: 22 March 2017

Abstract

We present an atypical case of combined comminuted lunate fracture and the scaphoid waist fracture, chip fracture of triquetrum and pisiform. Comminuted scaphoid waist fracture was caused by forced hyperextension of the wrist, similar mechanism to stage I of progressive perilunate instability (PLI), and lunate fracture might be caused by axial compression force, does not appear on the original theory of PLI. We performed closed reduction and screw fixation for the scaphoid fracture and immobilized and mildly distracted the wrist joint with the use of a bridging external fixator to prevent further collapse of comminuted lunate by neutralizing the compression force imposed by the capitate on the lunate. We achieved excellent radiological and clinical outcomes at 29-months of follow-up. We aimed to introduce this rare injury and clinically important points in its treatment with the review of the literature.

TOOLS

PDF Links
Full text via DOI
Download Citation

Share :

METRICS

0 Crossref
1,683 View
5 Download

Related articles in Arch Hand Microsurg

Tension Band Wire Fixation for Comminuted Distal Clavicle Fracture2004 December;9(4)

Mini-plate Fixation for Comminuted Radial Head Fracture2003 December;8(4)

Operative Treatment of Hamate Fracture1998 November;3(2)

Treatment of Distal Radioulnar Joint Injuries Associated with a Distal Radius Fracture2012 December;17(4)

Neglected Isolated Lunate Fracture2014 March;19(1)

About

Article and topics

Article category

Browse all articles >

Topics

Browse all articles >

Browse articles

Editorial policies

For contributors

Editorial Office: Department of Orthopedic Surgery, Yonsei University Medical School
(Research Center of Future Medicine of Gangnam Severance Hospital)
20, Eonju-ro 63-gil, Gangnam-gu, Seoul, 06229, Korea
Tel: +82-02-2019-3410 Fax: +82-02-2019-4926 E-mail: journal@handmicro.org