J Korean Soc Surg Hand.  2015 Sep;20(3):127-132. 10.12790/jkssh.2015.20.3.127.

Bilateral Trans-Scaphoid Perilunate Fracture Dislocation

• Chae SB
• Nam JH

• KMID: 2068818
• DOI: http://doi.org/10.12790/jkssh.2015.20.3.127

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.

Keyword

Scaphoid; Perilunate; Fracture-dislocation; Open reduction and internal fixation

MeSH Terms

Diagnosis
Dislocations*
Hand