Perilunate dislocations and fracture-dislocations: a multicenter study.
Détails
ID Serval
serval:BIB_ED595767FB3C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Perilunate dislocations and fracture-dislocations: a multicenter study.
Périodique
Journal of Hand Surgery
ISSN
0363-5023
Statut éditorial
Publié
Date de publication
1993
Peer-reviewed
Oui
Volume
18
Numéro
5
Pages
768-779
Langue
anglais
Résumé
A series of 166 perilunate dislocations and fracture-dislocations from 7 centers was retrospectively studied. The diagnosis was missed initially in 41 cases (25%). A classification system was presented. The perilunate fracture-dislocations were more frequent than the perilunate dislocations at a ratio of two to one. The displacement was dorsal in 161 cases (97%) and palmar in only 5 (3%). The dorsal transscaphoid perilunate fracture-dislocations represented 96% of the dorsal perilunate fracture-dislocations and 61% of the whole series. The clinical and radiologic outcome of 115 perilunate dislocations and fracture-dislocations with at least 1 year and an average of 6 years 3 months of follow-up was studied. Open injury and delay of treatment had an adverse effect on clinical results, whereas anatomical type had less influence. In cases treated early, the clinical results were satisfactory but the incidence of post-traumatic arthritis was high (56%). In the dorsal perilunate dislocation group of pure ligamentous injuries and in the dorsal transscaphoid group, the best radiologic results were observed after open reduction and internal fixation. In the latter group, the fixation of the scaphoid alone was not always sufficient and left occasionally scapholunate dissociation, lunotriquetral dissociation, ulnar translation of the carpus, or other carpal collapse patterns. The initial appraisal of both the osseous and ligamentous pathology was very important.
Mots-clé
Adult, Arthritis/epidemiology, Arthritis/etiology, Dislocations/epidemiology, Dislocations/surgery, Female, Fractures, Bone/epidemiology, Fractures, Bone/surgery, Humans, Incidence, Lunate Bone/injuries, Male, Retrospective Studies, Wrist Injuries/epidemiology, Wrist Injuries/surgery
Pubmed
Web of science
Création de la notice
29/02/2008 13:18
Dernière modification de la notice
20/08/2019 17:15