Transscapho-transcapitate fracture dislocation of the carpus

Sukul, D.M.K.S.Kaulesar; Johannes, E.J.

doi:10.1016/0363-5023(92)90418-o

Cited by 20 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The dorsal radial lip of the distal radius impinges on the waist of the scaphoid resulting in trans-scaphoid perilunate dislocation (Stage I). It further impacts on the body of the capitate and causes a trans-scaphoid, trans-capitate perilunate dislocation (Stage II) (Pandit, 1998; Kaulesar Sukul and Johannes, 1992; Resnik et al, 1983). With further progression of the injury, the triquetrum fractures and a complete greater arc injury of trans-scaphoid, trans-capitate, trans-triquetral perilunate dislocation occurs (Stage III) (Leung et al, 2006; Weseley and Barenfeld, 1972).…”

Section: Discussionmentioning

confidence: 99%

Trans-Triquetral Dorsal Perilunate Fracture Dislocation

Leung

Wong

et al. 2007

J Hand Surg Eur Vol

View full text Add to dashboard Cite

A rare case of trans-triquetral dorsal perilunate dislocation is described. It differs from the Mayfield and Johnson theory of progressive perilunar instability in greater arc injuries which states that the injury passes from the radial to the ulnar carpal bones and soft tissues in stages. This injury supports the concept of a reverse greater arc injury from ulnar to radial being possible with the radial carpal bones being spared in some cases.

show abstract

Section: Discussionmentioning

confidence: 99%

Trans-Triquetral Dorsal Perilunate Fracture Dislocation

Leung

Wong

et al. 2007

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…Kaulesar Sukul [8] collected a total of 12 previous reports of scaphocapitate syndrome for his paper. All but one of the papers reviewed in his study had a single patient case report.…”

Section: Discussionmentioning

confidence: 99%

“…2). Kaulesar Sukul described this fracture dislocation pattern as the “scaphocapitate syndrome” [8].…”

Section: Patient Reportsmentioning

confidence: 99%

Complex and Rare Fracture Patterns in Perilunate Dislocations

Apostolides

Lifchez

Christy

2011

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Introduction The wrist represents a complex anatomic region in the upper extremity and a highly functional and intricate structural joint. Perilunate injuries have classically been described as involving a greater or lesser arc as described by Mayfield and imply a specific pattern of force transmission. The greater and lesser arc classifications do not include descriptions of when non-scaphoid carpal fractures occur as part of a perilunate injury. Methods/Results We present three cases of complex and rare perilunate fracture dislocation patterns and discuss the surgical management as a treatment model for these complex wrist injuries: the trans-scaphoid, trans-capitate perilunate dislocation, the trans-scapholunate ligament, trans-capitate dislocation, and the trans-scaphoid, transtriquetral perilunate dislocation. Discussion Although there is a low incidence of injury to non-scaphoid carpal bones, it is beneficial to understand the approach to the perilunate reduction and scaphoid fixation through a combined volar and dorsal approach, which will also allow for the reduction and fixation of more rare and complex carpal fractures.

show abstract

“…In respect of traumatic injuries to the carpus, Knoll et al (2005) stressed the importance of repairing the lunotriquetral ligament. In respect of capitate fracture–dislocations, Fenton (1956) and Stein and Siegel (1969) advocated excision of the proximal pole, but other authors have recommended reserving this technique for use only in late cases with pain or limitation of motion (Adler and Shaftan, 1962; Cooney et al, 1987; Kaulesar Sukul and Johannes, 1992). Even when successful reduction and fixation of these lesions is carried out, early degenerative changes of the midcarpal joint can be expected (Leung et al, 2006).…”

Section: Discussionmentioning

confidence: 99%