ArticleCureus2025
Challenges in Postoperative Compliance and Follow-Up Among Trauma Patients: A Case Report of a Trans-scaphoid Perilunate Dislocation.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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