A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release

A young 22-year-old male presented with complaints of pain, tingling, and numbness over his right wrist for 1 year and had a history of falls on his outstretched hand. Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was...

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Detalles Bibliográficos
Autores principales: Chowdhary, Sahil, Kale, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600644/
https://www.ncbi.nlm.nih.gov/pubmed/37900399
http://dx.doi.org/10.7759/cureus.45957
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author Chowdhary, Sahil
Kale, Amit
author_facet Chowdhary, Sahil
Kale, Amit
author_sort Chowdhary, Sahil
collection PubMed
description A young 22-year-old male presented with complaints of pain, tingling, and numbness over his right wrist for 1 year and had a history of falls on his outstretched hand. Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was done. MRI findings are suggestive of avascular necrosis of the lunate along with lunate dislocation with marrow edema/contusion in the lunate. Complete disruption of the scapholunate, lunotriquetral, and radioscaphocapitate ligaments was noted. The patient was operated with lunate excision with carpal tunnel release and given strict pillow cover elevation in a volar slab.
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spelling pubmed-106006442023-10-27 A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release Chowdhary, Sahil Kale, Amit Cureus Orthopedics A young 22-year-old male presented with complaints of pain, tingling, and numbness over his right wrist for 1 year and had a history of falls on his outstretched hand. Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was done. MRI findings are suggestive of avascular necrosis of the lunate along with lunate dislocation with marrow edema/contusion in the lunate. Complete disruption of the scapholunate, lunotriquetral, and radioscaphocapitate ligaments was noted. The patient was operated with lunate excision with carpal tunnel release and given strict pillow cover elevation in a volar slab. Cureus 2023-09-25 /pmc/articles/PMC10600644/ /pubmed/37900399 http://dx.doi.org/10.7759/cureus.45957 Text en Copyright © 2023, Chowdhary et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Chowdhary, Sahil
Kale, Amit
A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
title A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
title_full A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
title_fullStr A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
title_full_unstemmed A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
title_short A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
title_sort rare case of chronic lunate dislocation along with avascular necrosis of the lunate with median nerve compression treated with lunate excision with carpal tunnel release
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600644/
https://www.ncbi.nlm.nih.gov/pubmed/37900399
http://dx.doi.org/10.7759/cureus.45957
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