Translunate fracture with associated perilunate injury: 3 case reports with introduction of the translunate arc concept

We report 3 cases of translunate fractures with associated perilunate dislocations (or subluxation). We believe the translunate injury reflects a higher-velocity trauma and produces further destabilization of the carpus when compared with the established greater and lesser arc injuries. A modificati...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 33; no. 10; p. 1770
Main Authors Bain, Gregory I, McLean, James M, Turner, Perry C, Sood, Aman, Pourgiezis, Nicholas
Format Journal Article
LanguageEnglish
Published United States 01.12.2008
Subjects
Adult
Aged
Carpal Bones - injuries
Carpal Joints
Fractures, Bone - complications
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Humans
Joint Dislocations - complications
Joint Dislocations - diagnostic imaging
Joint Dislocations - surgery
Male
Radiography
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Summary:We report 3 cases of translunate fractures with associated perilunate dislocations (or subluxation). We believe the translunate injury reflects a higher-velocity trauma and produces further destabilization of the carpus when compared with the established greater and lesser arc injuries. A modification to Johnson's perilunate injury classification system is proposed: the addition of a translunate arc injury subgroup, which would include all perilunate injuries with translunate fractures.
ISSN:1531-6564
DOI:10.1016/j.jhsa.2008.06.017