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Diagnostik und Therapie von perilunären Luxationen und Luxationsfrakturen

Clinical findings and treatment of perilunar dislocations and dislocation fractures

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Zusammenfassung

Perilunäre Luxationen und Luxationsfrakturen sind seltene Verletzungen, die meist im Rahmen von Hochenergietraumen durch Hyperextension des Handgelenks entstehen. Die frühzeitige Erkennung und Behandlung dieser Verletzungen führt in der Regel zu guten klinisch-funktionellen Ergebnissen trotz häufig nachweisbarer radiologischer Spätfolgen. Die sofortige Reposition der Handwurzel und die adäquate Versorgung aller verletzten Strukturen stellt die Grundlage einer stabilen Heilung dar. Die operative Versorgung hat das Ziel der stabilen Wiederherstellung der Konfiguration der Handwurzelknochen und stellt hohe Ansprüche an den Operateur.

Abstract

Perilunate dislocations, dislocation fractures and lunate dislocations are rare injuries predominantly resulting from hyperextension of the wrist during high-energy trauma. Early recognition and treatment of these injuries usually results in good functional outcome despite degenerative changes on radiographs. Immediate reduction and adequate restoration of normal alignment are the key to successful healing. Surgical intervention with open reduction and ligament repair aims at stable reconstruction of the carpus. It requires broad surgical experience and a profound knowledge of normal anatomy.

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  1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland

    K. Da Fonseca, L. Großterlinden & J.M. Rueger

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  1. K. Da Fonseca
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  2. L. Großterlinden
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  3. J.M. Rueger
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Correspondence to K. Da Fonseca.

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Da Fonseca, K., Großterlinden, L. & Rueger, J. Diagnostik und Therapie von perilunären Luxationen und Luxationsfrakturen. Unfallchirurg 115, 576–581 (2012). https://doi.org/10.1007/s00113-012-2177-0

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  • DOI: https://doi.org/10.1007/s00113-012-2177-0

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