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J Wrist Surg 2024; 13(01): 049-053
DOI: 10.1055/s-0043-1770952
Scientific Article

Radially Displaced Perilunate Injuries: A Report of Two Cases

Sathya Vamsi Krishna 
1   Department of Hand Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Bangalore, Karnataka, India
,
Diego L. Fernandez 
2   Department of Orthopaedic Surgery, University of Bern, Bern, Switzerland
› Author Affiliations Funding The author(s) received NO financial support for the preparation, research, authorship, and/or publication of this manuscript.
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Abstract

We present two unusual cases of radially displaced perilunate dislocations, one of which involved acute ulnar nerve compression requiring Guyon's canal release. The first case underwent closed reduction and cast immobilization but developed scapholunate instability, necessitating secondary ligament reconstruction. The second case, treated with open reduction and fixation, resulted in persistent volar intercalated segment instability of the proximal row and ulnar nerve paresthesia 1 year after surgery

Keywords

perilunate fracture dislocation - perilunate fracture dislocation with ulnar nerve compression - radially displaced perilunate fracture dislocation - Guyon's canal compression

Declaration of Ethical Approval for Study

This study is exempted from ethical approval.


Statement of Consent

The patient was informed about the publication and consent was obtained regarding the same.




Publication History

Received: 09 August 2022

Accepted: 02 June 2023

Article published online:
05 July 2023

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