{"id":5425,"date":"2013-09-14T17:39:49","date_gmt":"2013-09-14T17:39:49","guid":{"rendered":"http:\/\/test-medrazgl.aed-baza.si\/?p=5425"},"modified":"2013-09-14T17:39:49","modified_gmt":"2013-09-14T17:39:49","slug":"perilunate-dislocations-and-fracture-dislocations","status":"publish","type":"post","link":"https:\/\/medrazgl.si\/en\/perilunate-dislocations-and-fracture-dislocations\/","title":{"rendered":"Perilunate Dislocations and Fracture Dislocations"},"content":{"rendered":"<div>\n<p>Perilunate dislocations and fracture dislocations are rare, yet very grave wrist injuries that may easily be missed at the time of injury. They occur after high-energy trauma to the wrist.<\/p>\n<p>The paper presents a variety of different types of perilunate dislocations, their inciden\u00adce, classification and mechanisms of injury. Initial clinical signs of injury may be quite modest. Important radiological signs include: a \u00bbsignet ring sign\u00ab on the scaphoid, a triangular sha\u00adpe of the lunate in the posteroanterior projection and a \u00bbspilled milk sign\u00ab in the lateral projection.<\/p>\n<p>Surgical treatment combining the volar and dorsal approaches is required to provide an accurate review and identification of injured structures, to release the median nerve injury and reduce and internally fix the wrist bones.<\/p>\n<p>Anatomic reduction of intercarpal relationships is the key to avoiding nonunion, malu\u00adnion, or even avascular necrosis. Ligament repair or reconstruction \u2212\u00a0the volar ligaments and scapholunate interossal ligament in particular \u2212\u00a0is prognostically important, since it prevents chronic wrist instability and\/or arthritis due to advanced scapholunate collapse.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Perilunate dislocations and fracture dislocations are rare, yet very grave wrist injuries that may easily be missed at the time of injury. They occur after high-energy trauma to the wrist. The paper presents a variety of different types of perilunate dislocations, their inciden\u00adce, classification and mechanisms of injury. Initial clinical signs of injury may be [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[348,284,437,427],"tags":[],"class_list":["post-5425","post","type-post","status-publish","format-standard","hentry","category-4-2001-archive","category-latest","category-orthopaedics","category-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Perilunate Dislocations and Fracture Dislocations - Dru\u0161tvo Medicinski razgledi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Perilunate Dislocations and Fracture Dislocations - Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"og:description\" content=\"Perilunate dislocations and fracture dislocations are rare, yet very grave wrist injuries that may easily be missed at the time of injury. They occur after high-energy trauma to the wrist. The paper presents a variety of different types of perilunate dislocations, their inciden\u00adce, classification and mechanisms of injury. Initial clinical signs of injury may be [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/\" \/>\n<meta property=\"og:site_name\" content=\"Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"article:published_time\" content=\"2013-09-14T17:39:49+00:00\" \/>\n<meta name=\"author\" content=\"O\u017ebej Kun\u0161i\u010d\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"O\u017ebej Kun\u0161i\u010d\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/\"},\"author\":{\"name\":\"O\u017ebej Kun\u0161i\u010d\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/afeabc2cf79a5c40cc7ed495b7961a9a\"},\"headline\":\"Perilunate Dislocations and Fracture Dislocations\",\"datePublished\":\"2013-09-14T17:39:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/\"},\"wordCount\":175,\"commentCount\":0,\"articleSection\":[\"4\",\"Latest edition\",\"Orthopaedics\",\"Surgery\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/\",\"name\":\"Perilunate Dislocations and Fracture Dislocations - Dru\u0161tvo Medicinski razgledi\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#website\"},\"datePublished\":\"2013-09-14T17:39:49+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/afeabc2cf79a5c40cc7ed495b7961a9a\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/perilunarni-izpahi-in-izpahi-z-zlomom\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/medrazgl.si\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Perilunate Dislocations and Fracture Dislocations\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#website\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/\",\"name\":\"Dru\u0161tvo Medicinski razgledi\",\"description\":\"Dru\u0161tvo Medicinski razgledi\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medrazgl.si\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/afeabc2cf79a5c40cc7ed495b7961a9a\",\"name\":\"O\u017ebej Kun\u0161i\u010d\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b6958fa6812264eb95bfb5c2146b564c96f125fded633e68e1a63a2e9cb04319?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b6958fa6812264eb95bfb5c2146b564c96f125fded633e68e1a63a2e9cb04319?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b6958fa6812264eb95bfb5c2146b564c96f125fded633e68e1a63a2e9cb04319?s=96&d=mm&r=g\",\"caption\":\"O\u017ebej Kun\u0161i\u010d\"},\"url\":\"https:\\\/\\\/medrazgl.si\\\/en\\\/author\\\/ozbej-kunsic\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Perilunate Dislocations and Fracture Dislocations - Dru\u0161tvo Medicinski razgledi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/","og_locale":"en_US","og_type":"article","og_title":"Perilunate Dislocations and Fracture Dislocations - Dru\u0161tvo Medicinski razgledi","og_description":"Perilunate dislocations and fracture dislocations are rare, yet very grave wrist injuries that may easily be missed at the time of injury. They occur after high-energy trauma to the wrist. The paper presents a variety of different types of perilunate dislocations, their inciden\u00adce, classification and mechanisms of injury. Initial clinical signs of injury may be [&hellip;]","og_url":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/","og_site_name":"Dru\u0161tvo Medicinski razgledi","article_published_time":"2013-09-14T17:39:49+00:00","author":"O\u017ebej Kun\u0161i\u010d","twitter_card":"summary_large_image","twitter_misc":{"Written by":"O\u017ebej Kun\u0161i\u010d","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/#article","isPartOf":{"@id":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/"},"author":{"name":"O\u017ebej Kun\u0161i\u010d","@id":"https:\/\/medrazgl.si\/#\/schema\/person\/afeabc2cf79a5c40cc7ed495b7961a9a"},"headline":"Perilunate Dislocations and Fracture Dislocations","datePublished":"2013-09-14T17:39:49+00:00","mainEntityOfPage":{"@id":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/"},"wordCount":175,"commentCount":0,"articleSection":["4","Latest edition","Orthopaedics","Surgery"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/","url":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/","name":"Perilunate Dislocations and Fracture Dislocations - Dru\u0161tvo Medicinski razgledi","isPartOf":{"@id":"https:\/\/medrazgl.si\/#website"},"datePublished":"2013-09-14T17:39:49+00:00","author":{"@id":"https:\/\/medrazgl.si\/#\/schema\/person\/afeabc2cf79a5c40cc7ed495b7961a9a"},"breadcrumb":{"@id":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medrazgl.si\/perilunarni-izpahi-in-izpahi-z-zlomom\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/medrazgl.si\/en\/"},{"@type":"ListItem","position":2,"name":"Perilunate Dislocations and Fracture Dislocations"}]},{"@type":"WebSite","@id":"https:\/\/medrazgl.si\/#website","url":"https:\/\/medrazgl.si\/","name":"Dru\u0161tvo Medicinski razgledi","description":"Dru\u0161tvo Medicinski razgledi","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medrazgl.si\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/medrazgl.si\/#\/schema\/person\/afeabc2cf79a5c40cc7ed495b7961a9a","name":"O\u017ebej Kun\u0161i\u010d","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b6958fa6812264eb95bfb5c2146b564c96f125fded633e68e1a63a2e9cb04319?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b6958fa6812264eb95bfb5c2146b564c96f125fded633e68e1a63a2e9cb04319?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b6958fa6812264eb95bfb5c2146b564c96f125fded633e68e1a63a2e9cb04319?s=96&d=mm&r=g","caption":"O\u017ebej Kun\u0161i\u010d"},"url":"https:\/\/medrazgl.si\/en\/author\/ozbej-kunsic\/"}]}},"_links":{"self":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/posts\/5425","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/comments?post=5425"}],"version-history":[{"count":0,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/posts\/5425\/revisions"}],"wp:attachment":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/media?parent=5425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/categories?post=5425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/tags?post=5425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}