Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2010; 77(1):58-60 | DOI: 10.55095/achot2010/010

Perilunátní luxace karpu u pacienta s aplazií skafoideaKazuistika

J. ŠILLER^1,3,*, J. PILNÝ^2,3, M. SIROVÝ⁴, M. MRKLOVSKÝ⁵

¹ Chirurgická klinika, Pardubická krajská nemocnice, a.s., Pardubice

² Ortopedické oddělení, Pardubická krajská nemocnice, a.s., Pardubice

³ Fakulta zdravotnických studií Univerzity Pardubice

⁴ Traumatologické oddělení, Pardubická krajská nemocnice, a.s., Pardubice

⁵ Radiodiagnostické oddělení, Pardubická krajská nemocnice, a.s., Pardubice

Congenital aplasia of the scaphoid is a rare abnormality arising when the distal row of carpal bones is dislocated radially and proximally, the capitate replaces the scaphoid, and the lunate is triangular instead of quadrilateral in shape. The scaphoid bone which makes a functional bridge between the proximal and the distal row is a stabilising element under normal anatomical conditions. If it is absent, the carpus structure is disturbed and its radial part is prone to perilunar dislocation, because stability is provided only by the ligaments. However, a perilunar dislocation associated with aplasia of the scaphoid has not been described in the literature yet.
In the case reported here, after arthroscopic examination ascertaining that the capsular ligaments are not interposed between the joints, the dislocation was managed by closed reduction and Kirschner wire transfixation for 8 weeks, and the wrist was immobilised with a below-elbow plaster splint for the same period. A 22-month follow-up did not show any signs of wrist instability or restriction in hand function.

Klíčová slova: congenital aplasia of the scaphoid, perilunar dislocation

Zveřejněno: 1. únor 2010  Zobrazit citaci