School of Medicine Publications and Presentations
Document Type
Article
Publication Date
11-20-2025
Abstract
The wrist joint is a complex articulation that involves the distal radius, ulna, eight carpal bones (scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate), and the bases of the metacarpals. Trans-scaphoid perilunate fracture-dislocations are complex wrist injuries, most commonly resulting from high-energy mechanisms involving hyperextension and ulnar deviation. Prompt diagnosis and surgical management are essential in restoring wrist function and stability. This report focuses on the case of a 28-year-old male who sustained a trans-scaphoid perilunate dislocation with multiple associated fractures after an all-terrain vehicle (ATV) rollover accident. Surgical intervention included median nerve decompression, open reduction and internal fixation (ORIF) of the scaphoid, and stabilization of the lunate and associated carpal bones. After receiving initial postoperative care, this patient demonstrated noncompliance with follow-up and rehabilitation, highlighting the challenges that social determinants of health can pose in trauma patient management. This report emphasizes the role of surgical management and postoperative compliance in optimizing patient outcomes.
Recommended Citation
Bonilla, P., Murambadoro, A. K., Harris, C., & Rodriguez, S. (2025). Challenges in Postoperative Compliance and Follow-Up Among Trauma Patients: A Case Report of a Trans-scaphoid Perilunate Dislocation. Cureus, 17(11). https://doi.org/ 10.7759/cureus.97320
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Publication Title
Cureus
DOI
10.7759/cureus.97320
Academic Level
medical student
Mentor/PI Department
Surgery
Comments
© Copyright 2025 Bonilla et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited