Naslov
Operative treatment of the greater arc wrist injuries

Autori
Pavić , Roman ; Margetić , Petra ; Malović , Mario.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Injury, Int. J. Care Injured / - , 2012, S23-S24

Skup
Annual Congress of the Gerhard Kuntscher Society (GKS)

Mjesto i datum
Rostock, Njemačka, 19.09.2012. - 22.09.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
greater arc wrist injuries; operative treatment

Sažetak
Introduction: In these high energy injuries an axial load is applied to a hyperextended and ulnarly deviated wrist, placing the volar structures under tension and dorsal structures under compression and shear. Greater arc injuries involve fractures through the radial styloid, scaphoid, lunate, capitates, triquetrum and ulna, either solely or in combination with lunate or perilunate dislocation. The most often greater arc injury is the trans-scaphoid perilunate dislocation. In a TSPLD the scaphoid remains attached to the lunate with an intact scapholunate ligament. Materials and Methods: In these high energy injuries an axial load is applied to a hyperextended and ulnarly deviated wrist, placing the volar structures under tension and dorsal structures under compression and shear. Greater arc injuries involve fractures through the radial styloid, scaphoid, lunate, capitates, triquetrum and ulna, either solely or in combination with lunate or perilunate dislocation. The most often greater arc injury is the trans-scaphoid perilunate dislocation. In a TSPLD the scaphoid remains attached to the lunate with an intact scapholunate ligament. Results: Immobilization was removed 4 to 6 weeks when the patient was given an orthosis to promote range of motion. Pins were removed between 6 and 8 weeks. All patients returned to normal activities between 6 and 12 months. The average Mayo wrist score was 87 (65-99) which is good. All patients returned to their previous employment. Conclusion: All patients with greater arc injuries need surgical treatment, osteosynthesis, dislocation repositioning and lunotriquetral repair. Range of motion was excellent for patients operated on within 7 days of injury, good for patients operated between 7-45 days of injury. If treatment is delayed beyond 45 days the result of satisfactory range of motion is reduced.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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