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European J Pediatr Surg Rep. 2015; 03(02): 094-097
DOI: 10.1055/s-0035-1552560
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Rare Perilunate Injury as a Result of Chronic Trauma in 3-Year-Old Girl

Ryszard Tomaszewski
1   Department of Pediatric Traumatology and Orthopedic, Silesian Medical University, Katowice, Poland
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Publication History

08 November 2014

06 April 2015

Publication Date:
15 June 2015 (online)

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Abstract

A 3-year-old girl was reported to have perilunate dislocation. The child had suffered, approximately 18 months before, a repetitive wrist injury by means of frequent pulling and bending of the hand by the father who may have physically abused the child for approximately 2 months. At the age of 3 years and 4 months, we performed the reduction of the perilunate dislocation and the plasty of the dorsal scapholunate ligament using the capsular flap prepared from the extensor retinaculum. The wrist was immobilized for 6 weeks. Two months after surgery, patient started the physiotherapy for 3 months. The patient could flex up the wrist to 40 degrees and extend up to 45 degrees (mobility of the healthy wrist was 60, 50 degrees) during the examination 24 months' post-op. Only the surgical treatment of the perilunate dislocation can lead to obtain the good surgical result.

Keywords

child perilunate dislocation - chronic trauma - wrist child injury
 

  • References

  • 1 Mayfield JK. Mechanism of carpal injuries. Clin Orthop Relat Res 1980; (149) 45-54
    PubMedGoogle Scholar
  • 2 Barbee George A, Cristóbal BC, Brandy J. Acute perilunate dislocation in a pediatric patient: Learn to recognize this uncommon but potentially devastating carpal injury. J Am Acad Physician Assist 2013; 26 (6) 27-29
    PubMedGoogle Scholar
  • 3 Panting AL, Lamb DW, Noble J, Haw CS. Dislocations of the lunate with and without fracture of the scaphoid. J Bone Joint Surg Br 1984; 66 (3) 391-395
    PubMedGoogle Scholar
  • 4 Ji J-H, Shafi M, Moon C-Y, Park S-E. Trans-scaphoid perilunate dislocation with fractured carpal bones in a child. Chir Main 2010; 29 (1) 32-35
    CrossrefPubMedGoogle Scholar
  • 5 Siddiqui N, Sarkar S. Isolated dorsal dislocation of the lunate. Open Orthop J 2012; 6: 531-534
    CrossrefPubMedGoogle Scholar
  • 6 Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am 1993; 18 (5) 768-779
    CrossrefPubMedGoogle Scholar
  • 7 Park MJ, Steinberg DR. Volar perilunate dislocations: possible association with prior wrist injuries. Hand (NY) 2012; 7 (2) 217-220
    CrossrefPubMedGoogle Scholar
  • 8 Lee BJ, Kim SS, Lee SR, Jin JM, Yoon MG, Moon MS. Palmar scaphoid dislocation associated with dorsal perilunate dislocation: case report. J Hand Surg Am 2010; 35 (5) 726-731
    CrossrefPubMedGoogle Scholar