{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:09Z","timestamp":1787755569521,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 50-year-old woman involved in a motorcycle accident sustained a transscaphoid transcapitate perilunate fracture dislocation with complete extrusion of the proximal scaphoid pole and lunate as a unit into the forearm. The patient underwent urgent open reduction and internal fixation (ORIF) with screw fixation of the capitate and Kirschner wire fixation of the scaphoid, midcarpal joint, and lunotriquetral intervals. At 1-year postoperatively, radiographs confirm healing of capitate and scaphoid fractures, with no signs of avascular necrosis of the lunate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite a complex fracture-dislocation pattern, treatment with ORIF can successfully lead to scaphoid and capitate union and lunate revascularization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00534","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T20:05:07Z","timestamp":1597781107000},"page":"e19.00534-e19.00534","source":"Crossref","is-referenced-by-count":1,"title":["Total Scapholunate Extrusion Into the Forearm in a Transscaphoid, Transcapitate Perilunate Fracture Dislocation"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9389-1740","authenticated-orcid":false,"given":"Kitty","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Western University, London, Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5174-219X","authenticated-orcid":false,"given":"George S.","family":"Athwal","sequence":"additional","affiliation":[{"name":"Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Care Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4431-3204","authenticated-orcid":false,"given":"Douglas","family":"Ross","sequence":"additional","affiliation":[{"name":"Roth|McFarlane Hand & Upper Limb Centre, St. Joseph's Health Care Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"3","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/S0363-5023(80)80007-4","article-title":"Carpal dislocations: pathomechanics and progressive perilunar instability","volume":"5","author":"Mayfield","year":"1980","journal-title":"J Hand Surg Am."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"rju041","DOI":"10.1093\/jscr\/rju041","article-title":"Open perilunate injury with lunate revascularization after complete ligamentous avulsion","volume":"2014","author":"Arango","year":"2014","journal-title":"J Surg Case Rep."},{"issue":"3","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S0363-5023(80)80013-X","article-title":"The vascularity of the lunate bone and Kienb\u00f6ck's disease","volume":"5","author":"Gelberman","year":"1980","journal-title":"J Hand Surg Am."},{"issue":"4","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/S0266-7681(05)80175-5","article-title":"Palmar dislocation of the trans-scaphoid-lunate unit","volume":"20","author":"Ekerot","year":"1995","journal-title":"J Hand Surg Br."},{"issue":"6","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1053\/jhsu.2000.17868","article-title":"Dorsal perilunate dislocations and fracture-dislocations:questionnaire, clinical, and radiographic evaluation","volume":"25","author":"Hildebrand","year":"2000","journal-title":"J Hand Surg Am."},{"issue":"3","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"681","DOI":"10.2106\/00004623-195638030-00018","article-title":"The naviculo-capitate fracture syndrome","volume":"38-","author":"Fenton","year":"1956","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1302\/0301-620X.54B1.122","article-title":"The scapho-capitate fracture syndrome. A mechanism of injury","volume":"54","author":"Monahan","year":"1972","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/S0266-7681(98)80194-0","article-title":"Proximal and palmar dislocation of the lunate and proximal scaphoid as a unit in a case of scaphocapitate syndrome. A 32-month follow-up","volume":"23","author":"Pandit","year":"1998","journal-title":"J Hand Surg Br."},{"issue":"2","key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jhsa.2016.12.002","article-title":"The vascular anatomy of the capitate: new discoveries using micro-computed tomography imaging","volume":"42","author":"Kadar","year":"2017","journal-title":"J Hand Surg Am."},{"issue":"9","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"e1427","DOI":"10.3928\/01477447-20120822-33","article-title":"Total volar extrusion of the lunate and scaphoid proximal pole with concurrent scapholunate dissociation","volume":"35","author":"Koh","year":"2012","journal-title":"Orthopedics."},{"issue":"1","key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s11552-012-9462-9","article-title":"Acute proximal row carpectomy to treat a transscaphoid, transtriquetral perilunate fracture dislocation: case report and review of the literature","volume":"8","author":"Huish","year":"2013","journal-title":"Hand (N Y)."},{"issue":"01","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1007\/s12593-014-0162-2","article-title":"Acute proximal row carpectomy after complex carpal fracture dislocation","volume":"07","author":"Russchen","year":"2016","journal-title":"J Hand Microsurg."},{"issue":"1","key":"bib14-20230720","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.otsr.2016.10.014","article-title":"Treatment of acute perilunate dislocations: ORIF versus proximal row carpectomy","volume":"103","author":"Muller","year":"2017","journal-title":"Orthop Traumatol Surg Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00534","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:40Z","timestamp":1787751880000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00534"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00534","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}