A collection of complex joint preservation and replacement case studies and random thoughts of a orthopedic surgeon essentially aimed at knowledge dissemination.
Monday, 1 November 2010
Distal pole scaphoid fracture with Greissler’s Grade III SL dissociation
•53 year old Female,Right Hand Dominant Doctor with H/O Fall 4 days back
•Pain and Tenderness right wrist
loacalised to radia side of wrist
Cine radography and scopy showed a conplete SL dissociation, distal pole fracture and a trapezoid fracture.
This was an unusual radial side combination injury .
We ignored the trapezoid injury and k wired the distal pole ro hamate and proximal pole to lunate to treat the scapholunate injury with some shaving of the adjoining surface SL joint to cause fibrous ankylosis . 6 weeks later the fracture united and was mobilised.
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