Proximal row carpectomy in emergency

Santa, D. R. Della; Sennwald, G; Mathys, L.; Glauser, Thierry; Fusetti, Cesare; Beaulieu, Jean-Yves

doi:10.1016/j.main.2010.06.001

Cited by 10 publications

(10 citation statements)

References 19 publications

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“…Della Santa et al compared six patients that had acute PRC within three weeks of injury due to what was termed "unsuccessful reconstruction or irreducible dislocation" without additional details and six patients that had salvage PRC to treat SLAC or SNAC arthritis. Patients treated with acute PRC had greater satisfaction and grip strength [6].…”

Section: Discussionmentioning

confidence: 93%

“…Acute proximal row carpectomy as definitive treatment of perilunate fracture-dislocation has been described by a few others [1,2,6,9]. In a series of 6 patients with acute proximal row carpectomy after open perilunate fracturedislocation, Marin-Braun reported no pain in 4 patients and moderate pain in two.…”

Section: Discussionmentioning

confidence: 95%

“…Proximal row carpectomy (PRC) is a salvage option, sometimes with interposition of capsule or an implant if the capitate articular surface has deteriorated [1,4,5]. Some injuries are so severe that proximal row carpectomy is considered as the primary treatment of the acute injury [1,[6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Acute Proximal Row Carpectomy after Complex Carpal Fracture Dislocation

Russchen¹,

Kachooei²,

Teunis³

et al. 2016

J Hand Microsurg

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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.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Acute Proximal Row Carpectomy after Complex Carpal Fracture Dislocation

Russchen¹,

Kachooei²,

Teunis³

et al. 2016

J Hand Microsurg

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“…In the modern literature after the year 2000, there appear another four reports of acute PRC for greater arc injuries where greater detail of the injury characteristics is provided and more rigorous assessment of outcome is described compared to the early literature [3,7,15,24]. In 2002, Herzberg and Forissier described the medium-term results of 14 transscaphoid dorsal perilunate fracture dislocations with acute surgical treatment via attempted ORIF [7].…”

Section: Discussionmentioning

confidence: 99%

“…In 2009, Razafimahandry et al reported a single case report of a severely displaced dorsal transscaphoid perilunate dislocation in a 32-year-old male treated with an acute PRC at presentation, and at 6-year follow-up, the patient had low pain, a functional ROM, and no evidence of radiographic deterioration [15]. Lastly, an informative case–control study by Della Santa and colleagues compared clinical and radiographic outcomes of this procedure in a group of six patients undergoing elective PRC for posttraumatic wrist arthritis versus six patients undergoing emergent acute PRC for irreparable fracture dislocations of the wrist [3]. This study showed significantly better patient satisfaction and grip strength in patients with PRC after acute trauma than those who underwent elective PRC for posttraumatic degenerative disease at a mean follow-up of 36 months.…”

Section: Discussionmentioning

confidence: 99%

Acute Proximal Row Carpectomy to Treat a Transscaphoid, Transtriquetral Perilunate Fracture Dislocation: Case Report and Review of the Literature

Huish

Vitale

Shin

2012

Hand (New York, N,Y.)

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A 68-year-old right hand dominant female sustained a direct trauma to her right wrist during a motorcycle accident resulting in an open right index finger proximal interphalangeal (PIP) joint laceration, small finger metacarpophalangeal (MCP) joint collateral ligament injuries with a stable metacarpal shaft fracture, and a transscaphoid, transtriquetral perilunate fracture dislocation with the lunate rotated 180°on the volar aspect of the distal radius and the carpus and hand translated volarly (Fig. 1a, b).The patient was brought to the operating room on the day of injury for irrigation and debridement and a plan for open reduction and internal fixation (ORIF) of the carpus. After extending the dorsal wrist laceration and releasing the extensor retinaculum with an ulnarly based flap, a traumatic dorsal wrist capsulotomy along the dorsal intercarpal ligament was visible with multiple extruded bony fragments from the triquetrum and scaphoid. The remainder of the capsule was divided via a ligament sparing capsulotomy. The lunate, scaphoid, and triquetrum were dislocated volarly. The lunate remained attached only by a small portion of the short radiolunate ligament with the long radiolunate ligament completely avulsed. The scaphoid was free floating with only minor attachments to the intact trapezium. The triquetrum was still attached to the hamate but was fractured dorsally and volarly with significant comminution. The scapholunate ligament was ruptured. Attempts were made to reduce the scaphoid and lunate together, but after appreciating the gross instability from ligamentous disruption and the severity of articular injury, a decision was made to perform an acute salvage procedure. Based on the significant articular damage to the cartilage on the radiolunate side of the lunate but preservation of the articular surface of the capitate and lunate fossa of the distal radius, a proximal row carpectomy (PRC) was performed.The scaphoid, lunate, and triquetrum were removed with minimal dissection, and the remaining small proximal carpal fragments were debrided. The capitate was then seated into the lunate fossa and given significant laxity of the radiocapitate articulation temporarily secured with two 0.045 Kwires. Instability was attributed to the loss of support of the volar extrinsic ligaments, in particular the long radiolunate ligament, which was completely avulsed from the lunate. For this reason, the radiolunate ligament was repaired directly to the capitate with suture anchors via a separate volar approach. Care was taken to preserve the remaining radioscaphocapitate ligament. Dorsally, avulsion of the hamate at the capitohamate ligament insertion was identified and repaired using a suture anchor. A sagittal split fracture of the dorsal nonarticular capitate was noted with ligamentous attachment to the trapezoid which was also reduced and secured with a suture anchor. Once the carpal injuries were addressed, the other injuries were treated, including repair of the small finger MCP ulnar and radial collateral lig...

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Proximal row carpectomy for complex perilunate fracture dislocations with migration of proximal scaphoid bone into the forearm

Jerome¹,

Prabu²

2021

Hand Surgery and Rehabilitation

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Proximal row carpectomy in emergency

Cited by 10 publications

References 19 publications

Acute Proximal Row Carpectomy after Complex Carpal Fracture Dislocation

Acute Proximal Row Carpectomy after Complex Carpal Fracture Dislocation

Acute Proximal Row Carpectomy to Treat a Transscaphoid, Transtriquetral Perilunate Fracture Dislocation: Case Report and Review of the Literature

Proximal row carpectomy for complex perilunate fracture dislocations with migration of proximal scaphoid bone into the forearm

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