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Management of trans-scaphoid perilunate dislocations

Herbert screw fixation, ligamentous repair and early wrist mobilization

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Abstract

A retrospective review of 28 patients with 29 trans-scaphoid perilunate dislocations who underwent open reduction and Herbert screw fixation is presented. The majority of the patients had satisfactory results at 24 months of follow-up. A significantly better range of wrist motion was obtained in postoperative patients treated with cast immobilization for 4 weeks compared with those treated for longer than 5 weeks. The scaphoid fractures united well, with proper alignment of the carpal bones, regardless of the length of cast immobilization. We recommend open reduction, internal scaphoid fixation using a Herbert screw, carpal ligament repair and early cast removal in the management of trans-scaphoid perilunate dislocations.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Hand Surgery, Nagoya University School of Medicine, 1-1-20 Daikominami, 461, Higashi-ku, Nagoya, Japan

    G. Inoue & T. Imaeda

Authors
  1. G. Inoue
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  2. T. Imaeda
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Inoue, G., Imaeda, T. Management of trans-scaphoid perilunate dislocations. Arch Orthop Trauma Surg 116, 338–340 (1997). https://doi.org/10.1007/BF00433985

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  • DOI: https://doi.org/10.1007/BF00433985

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