Southern medical journal
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An unusual volar and radial perilunate transscaphoid fracture dislocation is reported. Treatment of perilunate transscaphoid fracture dislocations by closed reduction often produces a poor result. Early open reduction may be followed by a good result, but if open reduction is impossible, proximal row carpectomy is advised.
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Fever is usually thought to accompany tuberculosis. However, a review of 103 cases of tuberculosis presenting to a general hospital showed that 53% of the patients did not have fever when they first came to the outpatient clinic, and 10% did not have fever at any time while under observation. Absence of fever in a patient with pulmonary disease should not be used as evidence against the presence of tuberculosis.