Radially Displaced Perilunate Injuries: A Report of Two Cases.

Pub Date : 2023-07-05 eCollection Date: 2024-02-01 DOI:10.1055/s-0043-1770952
Sathya Vamsi Krishna, Diego L Fernandez
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Abstract

We present two unusual cases of radially displaced perilunate dislocations, one of which involved acute ulnar nerve compression requiring Guyon's canal release. The first case underwent closed reduction and cast immobilization but developed scapholunate instability, necessitating secondary ligament reconstruction. The second case, treated with open reduction and fixation, resulted in persistent volar intercalated segment instability of the proximal row and ulnar nerve paresthesia 1 year after surgery.

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桡骨移位性月周损伤2例报告
摘要:我们提出了两个不寻常的病例桡侧移位月骨周围脱位,其中一个涉及急性尺神经压迫需要盖伊恩管释放。第一例患者进行了闭合复位和石膏固定,但出现舟月骨不稳,需要进行二次韧带重建。第二个病例,经切开复位和固定治疗,导致近端行掌侧插入节段持续不稳,术后1年尺神经感觉异常
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