Luxation transscaphocapitale antélunaire du carpe : une nouvelle variété, une nouvelle approche

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• 作者：Wodecki ; Philippe ; Guigui ; Pierre ; Masmejean ; Emmanuel
• 关键词：fracture du capitatum ; fracture du scaphoï ; de carpien ; luxation pé ; rilunaire du carpe ; capitatum fracture ; carpal scaphoid fracture ; perilunate dislocation
• 刊名：Chirurgie de la main
• 出版年：2002
• 出版时间：2002
• 年：2002
• 卷：21
• 期：2
• 页码：143-147
• 全文大小：171 K

文摘

On the one hand, surgical treatment of dorsal perilunate fracture-dislocation is now well codified. The posterior approach is prefered by the majority of the authors. On the other hand, surgical schedule for volar perilunate dislocation is not well establish in the literature. The anterior approach is the most frequently recommanded. In case of Fenton's syndrome (scaphocapitate fracture), the head of the capitatum is described with a rotation of 180°. The authors reports a case of a volar transcaphocapitate perilunate fracture-dislocation of the carpus in a polytrauma. The head of the capitatum was in place onto the neck. By a posterior approach, a primary repair of all the elements has been performed including open reduction and internal fixation of the carpal scaphoid fracture in addition with a bone graft. The capitatum were fixed by wiring. At two years follow-up, the result were good. The patient did return at the same work. Clinically, there was a range of motion of 70° in flexion–extension. Radiologically, all the fractures healed and there were no intracarpal desaxation. Volar perilunate fracture-dislocation of the carpus and Fenton's fracture (scaphocapitate fracture) are two exceptionnal entities in the literature. Association of both lesions has been found only twice in the literature. No similar case with a head of the capitatum in place has been already described.