Polytraumatized SEVERE. Dislocation of the elbow, carpal scaphoid fracture dislocation of the lunate.

NAME: DANNY BRACCINI

AGE AT ENTRY: 18 YEARS

CAUSE OF REVENUE: motorcycle accident. Polytraumatized GRAVE.

ADMISSION DATE: 5 March 2010

SUBMITTED TO INCOME:

-Cranial-brain trauma with loss of consciousness.

-Occipital hematoma by CT report.

-Nasal septum fracture.

Fracture-palate.

-Dislocated left elbow.

Left-dislocation of the lunate.

-Left carpal scaphoid fracture.

RX. Front. Dislocated left elbow which was reduced to door.

RX. Profile elbow. Maintain the reduction of elbow dislocation.

Dislocated lunate.

Dislocated lunate extended.

The reduction was carried out in closed form, with traction and supination.

Fracture of the carpal scaphoid.

Full extension following the reduction of the lunate, although the position is not correct for the scaphoid.

Full flexion. It really changed the fascia of the patient to stop the pain caused by compression of the medium.
Volar wound presenting and being sutured closed and left guard the wall acted as pressure increases in the area and to exacerbate the symptoms of compression of the median.

Video showing full and painless recovery of mobility of the hand after the reduction of the lunate, the yield compression on the median nerve.

The position of supination and the strong pull that it had to do to reduce the scaphoid lunate determined that lost reduction.

Only after he was sure the evolution of the volar wound was prepared plaster for fractures of the scaphoid.

In this position the scaphoid regained contact between fragments.

Ibid. to anterior. 3 / 4 of the scaphoid.

The elapsed time makes us think of the possibility of the scaphoid can progress to necrosis, may be more optimistic with the lunate. The complexity makes the patient on admission to easily understand the reasons for the delays and was due to be cautious when performing general anesthesia.