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The Journal of Bone and Joint Surgery (American) 84:1201-1204 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Case Report

Periscaphoid Perilunate Dislocation of the Wrist

A Case Report

David C. Healey, MD, A. Alan Giachino, MD and Anna F. Conway, MA

Investigation performed at the Division of Orthopaedic Surgery, The Ottawa Hospital-General Campus, Ottawa, Ontario, Canada

David C. Healey, MD
2009 Long Lake Road, Suite B1, Sudbury, ON P3E 6C3, Canada

A. Alan Giachino, MD
Anna F. Conway, MA
Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital-General Campus, 501 Smyth Road, Suite 5004, Ottawa, ON K1H 8L6, Canada. E-mail address for A.A. Giachino: agiachino@ottawahospital.on.ca

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
We report the case of a patient with a rare periscaphoid perilunate dislocation of the wrist, in which the hand and wrist, except for the scaphoid and lunate, were dislocated dorsally as a unit.


   Case Report
 
A twenty-five-year-old male carpenter fell from a height of 20 ft (6 m) onto his outstretched left hand. He was first seen at a remote nursing station in the Arctic with pain, swelling, and a deformity of the wrist. He was transferred to a rural hospital, where radiographs were made and sent digitally to our center. Ten days after the injury, he was airlifted to The Ottawa Hospital.

Neurovascular examination of the extremity revealed normal findings. There was circumferential swelling of the left wrist, with a small abrasion and an osseous prominence about the region of the scaphoid tubercle. The range of motion of the wrist was decreased and painful. Posteroanterior, lateral, and oblique radiographs of . . . [Full Text of this Article]


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