Bilateral trans-radial trans-scaphoid perilunate fracture-dislocation with bilateral dorsal elbow dislocation: a case report

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216275%3A25520%2F25%3A39923933" target="_blank" >RIV/00216275:25520/25:39923933 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S2352644025001013" target="_blank" >https://www.sciencedirect.com/science/article/pii/S2352644025001013</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s13256-025-05496-5" target="_blank" >10.1186/s13256-025-05496-5</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Bilateral trans-radial trans-scaphoid perilunate fracture-dislocation with bilateral dorsal elbow dislocation: a case report

Popis výsledku v původním jazyce

BackgroundBilateral trans-radial trans-scaphoid perilunate fracture-dislocation is one of the less common injuries of the wrist, occurring as a consequence of high-energy trauma. Its coincidence with bilateral elbow dislocation is extremely rare.Case presentationThe authors present a case of a 24-year old male of Czech origin who attained this unique injury by falling from a height of 4 m onto both upper extremities. Bilateral open reduction of the wrists using both palmar and dorsal approaches and closed reduction of both elbow joints was performed. The arms were immobilized in casts for a total of 7 week (4 weeks with total elbow fixation and 3 weeks allowing flexion and extension at the elbow). In the follow-up period of 4 years, no signs of post-traumatic arthrosis were noted on radiological examinations. After finishing rehabilitation, the range of joint motion in the right wrist was 80 degrees for dorsal flexion and 70 degrees for palmar flexion, and in the left wrist was 80 degrees for dorsal flexion and 80 degrees for palmar flexion, as well as the full extent of radial and ulnar ductions (deviations), and in both the left and right elbows the range was 0-130 degrees. Both elbow joints were stable. The patient continues to work as an installer on tall construction projects without disability.ConclusionTo successfully treat such a patient, the surgeon should favor a wrist open reduction, with the goal of reconstructing the anatomical relationship between the carpal bones and closed reduction of the elbow joints with external fixation, with the initial treatment to relieve pressure on the median nerve in the carpal tunnel.

Název v anglickém jazyce

Bilateral trans-radial trans-scaphoid perilunate fracture-dislocation with bilateral dorsal elbow dislocation: a case report

Popis výsledku anglicky

BackgroundBilateral trans-radial trans-scaphoid perilunate fracture-dislocation is one of the less common injuries of the wrist, occurring as a consequence of high-energy trauma. Its coincidence with bilateral elbow dislocation is extremely rare.Case presentationThe authors present a case of a 24-year old male of Czech origin who attained this unique injury by falling from a height of 4 m onto both upper extremities. Bilateral open reduction of the wrists using both palmar and dorsal approaches and closed reduction of both elbow joints was performed. The arms were immobilized in casts for a total of 7 week (4 weeks with total elbow fixation and 3 weeks allowing flexion and extension at the elbow). In the follow-up period of 4 years, no signs of post-traumatic arthrosis were noted on radiological examinations. After finishing rehabilitation, the range of joint motion in the right wrist was 80 degrees for dorsal flexion and 70 degrees for palmar flexion, and in the left wrist was 80 degrees for dorsal flexion and 80 degrees for palmar flexion, as well as the full extent of radial and ulnar ductions (deviations), and in both the left and right elbows the range was 0-130 degrees. Both elbow joints were stable. The patient continues to work as an installer on tall construction projects without disability.ConclusionTo successfully treat such a patient, the surgeon should favor a wrist open reduction, with the goal of reconstructing the anatomical relationship between the carpal bones and closed reduction of the elbow joints with external fixation, with the initial treatment to relieve pressure on the median nerve in the carpal tunnel.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Medical Case Reports

ISSN

—

e-ISSN

1752-1947

Svazek periodika

19

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

9

Strana od-do

nestránkováno

Kód UT WoS článku

001598417200001

EID výsledku v databázi Scopus

2-s2.0-105019552045