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Moody L, Zhang AY. Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report. Hand (N Y). 2015;10(2):328-32doi: 10.1007/s11552-014-9634-x.
Moody, L., & Zhang, A. Y. (2015). Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report. Hand (New York, N.Y.), 10(2), 328-32. https://doi.org/10.1007/s11552-014-9634-x
Moody, Lisa, and Zhang, Andrew Y. "Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report." Hand (New York, N.Y.) vol. 10,2 (2015): 328-32. doi: https://doi.org/10.1007/s11552-014-9634-x
Moody L, Zhang AY. Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report. Hand (N Y). 2015 Jun;10(2):328-32. doi: 10.1007/s11552-014-9634-x. PMID: 26034454; PMCID: PMC4447658.
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Hand (N Y). 2015 Jun;10(2):328-32. doi: 10.1007/s11552-014-9634-x.

Treatment of an unusual trans-scaphoid perilunate avulsion fracture dislocation: a case report.

Hand (New York, N.Y.)

Lisa Moody, Andrew Y Zhang

Affiliations

  1. Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0724 USA.

PMID: 26034454 PMCID: PMC4447658 DOI: 10.1007/s11552-014-9634-x

Abstract

We describe an unusual case of trans-scaphoid perilunate injury where the proximal half of the scaphoid avulsed from all attaching ligaments and extruded into the forearm. Treatment involved anatomic reduction and internal fixation of the fracture, scapholunate (SL) ligament repair, temporary K-wire fixation, and prolonged immobilization. At 19-month follow-up, the fracture healed, SL ligament remained intact, and the patient recovered much of his hand function.

Keywords: Perilunate fracture dislocation; Perilunate injury; Trans-scaphoid perilunate avulsion fracture; Treatment of trans-scaphoid perilunate avulsion fracture

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