Perilunat \u00e7\u0131k\u0131klar ve k\u0131r\u0131kl\u0131-\u00e7\u0131k\u0131klar, s\u0131k g\u00f6r\u00fclen el bile\u011fi \u00e7\u0131k\u0131\u011f\u0131d\u0131r. Hem ba\u011f dokusu hem de kemik yaralanmas\u0131n\u0131 i\u00e7erebilir. K\u00fc\u00e7\u00fck ark yaralanmalar\u0131nda kuvvet, lunat ve karpus \u00e7evresindeki ba\u011flar arac\u0131l\u0131\u011f\u0131yla iletilir ve \u00e7\u0131k\u0131k ile sonu\u00e7lan\u0131r. Buna kar\u015f\u0131l\u0131k, daha b\u00fcy\u00fck ark yaralanmalar\u0131, kuvvetin kemiklere ve ba\u011flara iletildi\u011fi yaralanmalar\u0131 i\u00e7erir ve k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131k meydana gelir. Yine lunatumdan ge\u00e7en k\u0131r\u0131k hatt\u0131n\u0131n oldu\u011fu perilunat yaralanmalar g\u00f6r\u00fclebilir. (\u015eekil 1)<\/strong> Klinik pratikte, trans \u00f6neki, ili\u015fkili k\u0131r\u0131klar\u0131 ifade etmek i\u00e7in, peri- \u00f6neki ise \u00e7\u0131k\u0131\u011f\u0131 tan\u0131mlamak i\u00e7in kullan\u0131l\u0131r. Perilunat k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klar, perilunat \u00e7\u0131k\u0131klardan 2 kat daha s\u0131k g\u00f6r\u00fcl\u00fcr. \u00c7\u0131k\u0131klar, vakalar\u0131n %97\u2019sinde dorsal y\u00f6nde meydana gelir. Bu k\u0131r\u0131klar, y\u00fcksekten d\u00fc\u015fme, spor yaralanmalar\u0131 ve motosiklet kazas\u0131 gibi y\u00fcksek enerjili travmalara maruz kalan gen\u00e7 erkeklerde g\u00f6r\u00fcl\u00fcr. Hastalar\u0131n yakla\u015f\u0131k %20\u2019si ilk ba\u015fvuruda yanl\u0131\u015f tan\u0131 almakta ya da \u00e7oklu travma de\u011ferlendirilmesi s\u0131ras\u0131nda g\u00f6zden ka\u00e7maktad\u0131r. Yaralanma ile tedavi aras\u0131ndaki meydana gelen gecikme prognozu k\u00f6t\u00fc y\u00f6nde etkilemektedir. Perilunat \u00e7\u0131k\u0131k ve k\u0131r\u0131kl\u0131-\u00e7\u0131k\u0131klar\u0131n belirti ve bulgular\u0131<\/strong> El bile\u011fi muayenesinde hassasiyet, \u015fi\u015flik ve belirgin bir deformite g\u00f6r\u00fclecektir. Vakalarda median sinir semptomlar\u0131 ve bulgular\u0131 yan\u0131 s\u0131ra ulnar n\u00f6ropati, arter yaralanmas\u0131 veya tendon hasar\u0131 da g\u00f6r\u00fclebilir. Perilunat dislokasyon ve frakt\u00fcr-dislokasyonun g\u00f6r\u00fcnt\u00fclenmesi<\/strong> Radyografik de\u011ferlendirme n\u00f6tral PA, lateral ve radyal deviasyon el bile\u011fi radyografileri ile yap\u0131l\u0131r: El bilek red\u00fcksiyonu<\/a> sonras\u0131 da, el bilek dizilimi, karpal k\u0131r\u0131klar\u0131 de\u011ferlendirmek ve tedavi planlamas\u0131 i\u00e7in bilgisayarl\u0131 tomografi \u00e7ekilmelidir. <\/p>\n<\/div><\/section><\/div>