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Case Reports
Triple jeopardy: transscaphoid, transcapitate, transtriquetral, perilunate fracture dislocation.
- Bhavuk Garg, Tarun Goyal, and Prakash P Kotwal.
- Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
- J Orthop Traumatol. 2013 Sep 1;14(3):223-6.
AbstractCarpal injuries are frequently underdiagnosed and underreported injuries of the hand. Scapholunate perilunate dissociation is the most common perilunate instability pattern seen in clinical practice. Transscaphoid, transtriquetral, transcapitate dislocation with a volar intercalated segment instability pattern is a very rare pattern of carpal injury. We describe a case with this unique pattern of injury, explaining its mechanism and treatment. Good outcome can be achieved in these injuries following open reduction and internal fixation with ligamentous repair.
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