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J Hand Microsurg 2015; 07(01): 212-215
DOI: 10.1007/s12593-014-0162-2
Case report
Thieme Medical and Scientific Publishers Private Ltd.

Acute Proximal Row Carpectomy after Complex Carpal Fracture Dislocation

Marjolein Russchen
,
Amir Reza Kachooei
,
Teun Teunis
,
David Ring
Subject Editor:
Further Information

Publication History

17 May 2014

13 October 2014

Publication Date:
13 September 2016 (online)

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Abstract

Acute proximal row carpectomy is an uncommon definitive treatment for perilunate fracture dislocations. In this report, we present five patients who had acute proximal row carpectomy (PRC) to treat perilunate fracture-dislocations. All patients were men between ages 31 and 87. The indication for PRC was lunate fracture in two patients, concomitant displaced scaphoid fracture and scapholunate ligament injury in two patients, and perilunate fracture-dislocation with preexisting articular damage from long-standing gout in one patient. At the final follow-up ranged from 4.5 month to 7.5 years, four patients had no pain and one patient was lost to follow-up. One patient had a concomitant PRC and a bridging plate that was never removed. The remaining three patients gained satisfactory range of motion. Our observation reveals that acute proximal row carpectomy is an option for some patients with complex carpal fracture dislocations, particularly those with fracture of the lunate, concomitant scaphoid fracture and scapholunate ligament injury, or preexisting wrist arthritis.

Keywords

Acute - Perilunate fracture dislocation - Proximal row carpectomy - Scapholunate ligament - Trauma - Wrist arthritis
 

  • References

  • 1 van Kooten EO, Coster E, Segers MJ, Ritt MJ. Early proximal row carpectomy after severe carpal trauma. Injury 2005; 36: 1226-1232
    CrossrefPubMedSearch in Google Scholar
  • 2 Herzberg G, Forissier D. Acute dorsal trans-scaphoid perilunate fracture-dislocations: medium-term results. J Hand Surg (Br) 2002; 27: 498-502
    PubMedSearch in Google Scholar
  • 3 van Leeuwen DH, Buijze GA, Ring D. Ulnar to radial dorsal fracture-dislocations of the wrist: a report of 2 cases. J Hand Surg [Am] 2012; 37: 500-502 doi:10.1016/j.jhsa.2011.12.029
    CrossrefPubMedSearch in Google Scholar
  • 4 Ali MH, Rizzo M, Shin AY, Moran SL. Long-term outcomes ofproximal row carpectomy: a minimum of 15-year follow-up. Hand (NY) 2012; 7: 72-78 doi:10.1007/s11552-011-9368-y
    CrossrefPubMedSearch in Google Scholar
  • 5 Wall LB, Didonna ML, Kiefhaber TR, Stern PJ. Proximal row carpectomy: minimum 20-year follow-up. J Hand Surg [Am] 2013; 38: 1498-1504 doi:10.1016/j.jhsa.2013.04.028
    CrossrefPubMedSearch in Google Scholar
  • 6 Della Santa DR, Sennwald GR, Mathys L, Glauser T, Fusetti C, Beaulieu JY. Proximal row carpectomy in emergency. Ann Chir Main 2010; 29: 224-230 doi:10.1016/j.main.2010.06.001
    PubMedSearch in Google Scholar
  • 7 Domeshek LF, Harenberg PS, Rineer CA, Hadeed JG, Marcus JR, Erdmann D. Total scapholunate dislocation with complete scaphoid extrusion: case report. J Hand Surg [Am] 2010; 35: 69-71 doi: 10.1016/j.jhsa.2009.09.015
    CrossrefPubMedSearch in Google Scholar
  • 8 Huish EG, Vitale MA, Shin AY. Acute proximal row carpectomy to treat a transscaphoid, transtriquetral perilunate fracture dislocation: case report and review of the literature. Hand (N Y) 2013; 8: 105-109 doi:10.1007/s11552-012-9462-9
    CrossrefPubMedSearch in Google Scholar
  • 9 Marin-Braun F. Emergency resection of the proximal carpal bones. Ann Chir Main Memb Super 1992; 11: 283-284
    PubMedSearch in Google Scholar
  • 10 Marzouki A, Almoubaker S, Hamdi O, Laharch K, Boutayeb F. Transscaphoid perilunate dislocation with proximal displacement of the lunate and proximal scaphoid. A case report. Ann Chir Main 2013; 32: 96-99 doi:10.1016/j.main.2013.02.007
    PubMedSearch in Google Scholar