Abstract
El bileği travmalarına, lunatum çevresinde gizli çıkıklar eşlik edebilir. Bu çıkıklar tedavi edilmedikleri zaman; uzun dönemde fonksiyonel sakatlık ve kronik ağrı görülme olasılığı yüksektir. Perilunat
çıkık, bu tarz travmalar sonrası acil hekimleri tarafından ayırıcı tanıda mutlaka akılda tutulmalıdır. Dikkatli bir fizik muayene ve radyolojik inceleme bu konuda en önemli unsurlardır. Mutlaka perilunat çıkık dışlanmalıdır. Bu bölge travmalarında karpal kemiklerin
çıkık/kırık olma olasılığıda akılda bulundurulmalıdır. Bu yazıda el
bileği travması sonrası gelişen perilunat çıkık olgusu literatür eşliğinde tanı ipuçları ile sunulmuştur.
Keywords
References
- Rockwood CA, Jr, Green DP, Bucholz RW. Fractures and dislocations of the wrist, in Rockwood CA, Jr, Green DP (eds): Fractures in Adults, Vol 1. New York, Lippincott Williams & Wilkins Publishers, 2011.pp.857-908.
- Perron AD, Brady WJ, Keats TE, Hersh RE. Orthopedic pitfalls in the ED: lu- nate and perilunate injuries. Am J Emerg Med 2001; 19: 157-62. [CrossRef]
- Chin HW, Uehara DT. Wrist injuries, in Tintinalli JE, Kelen GD, Stapczynski JS (eds): Emergency Medicine, New York, McGraw- Hill, 2000.pp.1772-83.
- Ada S, Özerkan F, Bora A, Ademoğlu Y, Kaplan İ. Perilunate kırıklı-çıkıkların cerrahi tedavi sonuçları. Acta Orthop Traumatol Turc 1995; 29: 263-7.
- Sochart DH, Birdsall PD, Paul AS. Perilunate fracture-dislocation: a con- tinually missed injury. J Accid Emerg Med 1996; 13: 213-6. [CrossRef]
- Kardashian G, Christoforou DC, Lee SK. Perilunate Dislocations. Bull NYU Hosp Jt Dis 2011; 69: 87-96.
- Herzberg G, Comtet JJ, Linschied RL, Amadio PC, Cooney WP, Stadler J. Perilunate dislocations and fracture dislocations; a multicenter study. J Hand Surg 1993; 18-A: 768-79.
Abstract
Occult perilunate dislocations can accompany wrist injuries. Without treatment, these dislocations have a high possibility of long-term functional impairment and chronic pain. After the aforementioned trauma, a differential diagnosis of perilunate dislocation must be kept in mind by emergency physicians. A careful physical and radiological examination is a crucial element in this setting as one must exclude perilunate dislocation. Carpal fracture/dislocation should be considered following trauma to this region. This paper discusses a case of perilunate dislocation after a wrist injury and presents a review of the literature with tips for diagnosis
References
- Rockwood CA, Jr, Green DP, Bucholz RW. Fractures and dislocations of the wrist, in Rockwood CA, Jr, Green DP (eds): Fractures in Adults, Vol 1. New York, Lippincott Williams & Wilkins Publishers, 2011.pp.857-908.
- Perron AD, Brady WJ, Keats TE, Hersh RE. Orthopedic pitfalls in the ED: lu- nate and perilunate injuries. Am J Emerg Med 2001; 19: 157-62. [CrossRef]
- Chin HW, Uehara DT. Wrist injuries, in Tintinalli JE, Kelen GD, Stapczynski JS (eds): Emergency Medicine, New York, McGraw- Hill, 2000.pp.1772-83.
- Ada S, Özerkan F, Bora A, Ademoğlu Y, Kaplan İ. Perilunate kırıklı-çıkıkların cerrahi tedavi sonuçları. Acta Orthop Traumatol Turc 1995; 29: 263-7.
- Sochart DH, Birdsall PD, Paul AS. Perilunate fracture-dislocation: a con- tinually missed injury. J Accid Emerg Med 1996; 13: 213-6. [CrossRef]
- Kardashian G, Christoforou DC, Lee SK. Perilunate Dislocations. Bull NYU Hosp Jt Dis 2011; 69: 87-96.
- Herzberg G, Comtet JJ, Linschied RL, Amadio PC, Cooney WP, Stadler J. Perilunate dislocations and fracture dislocations; a multicenter study. J Hand Surg 1993; 18-A: 768-79.
Details
| Other ID | JA64ZH22VF |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | July 1, 2013 |
| Submission Date | July 1, 2013 |
| Published in Issue | Year 2013 Volume: 4 Issue: 3 |