Dorsal trans-scaphoid perilunate dislocation in a 9-year-old child

• Published in: European journal of pediatric surgery Vol. 15; no. 2; p. 140
• Main Authors: Massicot, R, Uzel, A P, Céolin, J L, Brouard, P
• Format: Journal Article
• Language: English
• Published: United States 01.04.2005
• Subjects: Bone Screws; Carpal Bones - injuries; Carpal Bones - surgery; Child; Fracture Fixation, Internal - instrumentation; Fractures, Bone - diagnostic imaging; Fractures, Bone - surgery; Humans; Joint Dislocations - diagnostic imaging; Joint Dislocations - surgery; Male; Radiography; Wrist Injuries - diagnostic imaging; Wrist Injuries - surgery
• ISSN: 0939-7248
• DOI: 10.1055/s-2004-821221

The authors reported on the surgical management of a trans-scaphoid retrolunate dislocation of the carpus associated with a stable styloid fracture of the radius and a displaced fracture of the triquetrum in a nine-year-old child. An open reduction of the dislocation and fixation using a screw inserted disto-proximally in the scaphoid were quickly carried out using a palmar approach. X-ray showed a good union nine months later. At 29 months the motion of the wrist was normal and pain-free, the strength was graded at 80 % in comparison to the contralateral side and the X-ray examination showed no carpal instability nor growth trouble. The authors discuss the mechanism of production and the therapeutic strategy.