周边脱位和骨折脱位被认为是罕见的伤害。在初步评估过程中,经常会遗漏局部损伤。我们报告了一例37岁的男性,在经历创伤后几天出现开放性骨裂脱位。他接受了反复清创,和临时外固定器的应用,然后通过组合的双重方法和无头螺钉的舟骨和头状骨的内固定进行明确的切开复位。明确固定后八周开始积极的理疗练习。六年后,患者的预后令人满意,Mayo腕部评分优异.外围损伤应被视为腕部损伤的重要鉴别诊断之一。早期诊断和治疗对于获得最佳结果至关重要。通过掌侧和背侧联合入路进行切开复位和内固定可获得最佳效果。
Perilunate dislocations and fracture-dislocations are considered rare injuries. Perilunate injuries are frequently missed during primary evaluations. We report a
case of a 37-year-old male presenting with an open perilunate fracture-dislocation a few days after experiencing trauma. He underwent repeated debridements, and provisional external fixator application followed by a definitive open reduction through a combined dual approach and internal fixation of scaphoid and capitate with headless screws. Aggressive physiotherapy exercises were started eight weeks after definitive fixation. After six years, the patient had a satisfactory outcome with an excellent Mayo wrist score. Perilunate injuries should be considered one of the important differential diagnoses in wrist injuries. Early diagnosis and treatment are of utmost importance to gain optimum outcomes. The best results could be achieved with open reduction and internal fixation through a combined volar and dorsal approach.