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Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report
Incidence of lunate fractures is very low, less than 1% of all fractures. Lunate fractures generally come from high-energy injuries, often combined with other wrist fractures. Simple lunate fractures can be fixed with screws or Kirschner wires. However, Comminuted lunate fractures are difficult to r...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662819/ https://www.ncbi.nlm.nih.gov/pubmed/37478227 http://dx.doi.org/10.1097/MD.0000000000034393 |
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author | Li, Jun Zhao, Guangyue Zhang, Weiliang |
author_facet | Li, Jun Zhao, Guangyue Zhang, Weiliang |
author_sort | Li, Jun |
collection | PubMed |
description | Incidence of lunate fractures is very low, less than 1% of all fractures. Lunate fractures generally come from high-energy injuries, often combined with other wrist fractures. Simple lunate fractures can be fixed with screws or Kirschner wires. However, Comminuted lunate fractures are difficult to reduce and fixe by conventional methods. PATIENT CONCERNS: Here we report a 42-year-old male construction worker who was crushed by an excavator bucket and presented with comminuted lunate fracture combined with distal radius fracture and scaphoid fracture. DIAGNOSES: Comminuted lunate fracture, distal radius fracture, and scaphoid fracture. INTERVENTIONS: The posterior approach was used to reconstruct the radial lunate bone with polymethylmethacrylate cement, and cannulated screws were used to fix the scaphoid and distal radius fractures. OUTCOMES: At the 3rd month after surgery, the movement of the right wrist joint improved. At the sixth month after surgery, the patient returned to the building site and began working at the same intensity as before the injury. LESSONS: Although the incidence of comminuted lunate fractures is very low, they occur sometimes. For comminuted lunate fractures, early identification and intervention can preserve most of the function of the wrist joint. |
format | Online Article Text |
id | pubmed-10662819 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-106628192023-07-21 Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report Li, Jun Zhao, Guangyue Zhang, Weiliang Medicine (Baltimore) 7100 Incidence of lunate fractures is very low, less than 1% of all fractures. Lunate fractures generally come from high-energy injuries, often combined with other wrist fractures. Simple lunate fractures can be fixed with screws or Kirschner wires. However, Comminuted lunate fractures are difficult to reduce and fixe by conventional methods. PATIENT CONCERNS: Here we report a 42-year-old male construction worker who was crushed by an excavator bucket and presented with comminuted lunate fracture combined with distal radius fracture and scaphoid fracture. DIAGNOSES: Comminuted lunate fracture, distal radius fracture, and scaphoid fracture. INTERVENTIONS: The posterior approach was used to reconstruct the radial lunate bone with polymethylmethacrylate cement, and cannulated screws were used to fix the scaphoid and distal radius fractures. OUTCOMES: At the 3rd month after surgery, the movement of the right wrist joint improved. At the sixth month after surgery, the patient returned to the building site and began working at the same intensity as before the injury. LESSONS: Although the incidence of comminuted lunate fractures is very low, they occur sometimes. For comminuted lunate fractures, early identification and intervention can preserve most of the function of the wrist joint. Lippincott Williams & Wilkins 2023-07-21 /pmc/articles/PMC10662819/ /pubmed/37478227 http://dx.doi.org/10.1097/MD.0000000000034393 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Li, Jun Zhao, Guangyue Zhang, Weiliang Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report |
title | Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report |
title_full | Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report |
title_fullStr | Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report |
title_full_unstemmed | Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report |
title_short | Comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: A case report |
title_sort | comminuted lunate fracture combined with distal radius fracture and scaphoid fracture: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662819/ https://www.ncbi.nlm.nih.gov/pubmed/37478227 http://dx.doi.org/10.1097/MD.0000000000034393 |
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