Bilateral Trans-Scaphoid Perilunate Fracture Dislocation

Chae,  Seung Bum; Nam,  Jun Ho

doi:2015.20.3.127

Arch Hand Microsurg > Volume 20(3); 2015 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2015;20(3):127-132.
Published online September 30, 2015.
DOI: https://doi.org/10.12790/jkssh.2015.20.3.127

Bilateral Trans-Scaphoid Perilunate Fracture Dislocation

Seung Bum Chae, Jun Ho Nam

Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea. sbchae@cu.ac.kr

Received: 27 March 2015 • Revised: 18 June 2015 • Accepted: 21 July 2015

Abstract

Bilateral trans-scaphoid perilunate fracture dislocations are uncommon and have been rarely reported in the literature. Furthermore, it is more difficult to manage in the case of Fenton's syndrome (scaphocapitate fracture syndrome, trans-scaphoid trans-capitate fracture dislocation). These injuries occur after a high-energy trauma caused by fall from height or vehicular accidents. These fracture dislocation patterns have very few reported cases in the literature and little information as to the diagnosis, management, and surgical approach for treatment. We present a case of scaphocapitate fracture syndrome on the right hand and trans-scaphoid trans-triquetral perilunate injury on the left hand at the same time.