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Trans-styloid, trans-hamate dorsal lunate dislocation: A case report

INTRODUCTION: Lunate dislocation is a rare and serious injury, frequently due to high-energy trauma such as a fall from height or a motor vehicle accident. Lunate dislocation is usually in the volar direction; however, dorsal dislocation of the lunate is extremely rare. PRESENTATION OF CASE: We repo...

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Autores principales: Alyamani, Anas M., Alfawzan, Mohammed F., Alhassan, Turki S., Almeshal, Obaid M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664157/
https://www.ncbi.nlm.nih.gov/pubmed/31352321
http://dx.doi.org/10.1016/j.ijscr.2019.07.011
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author Alyamani, Anas M.
Alfawzan, Mohammed F.
Alhassan, Turki S.
Almeshal, Obaid M.
author_facet Alyamani, Anas M.
Alfawzan, Mohammed F.
Alhassan, Turki S.
Almeshal, Obaid M.
author_sort Alyamani, Anas M.
collection PubMed
description INTRODUCTION: Lunate dislocation is a rare and serious injury, frequently due to high-energy trauma such as a fall from height or a motor vehicle accident. Lunate dislocation is usually in the volar direction; however, dorsal dislocation of the lunate is extremely rare. PRESENTATION OF CASE: We report a case of 55-year-old male who sustained a high-energy trauma; he was hit by a car while crossing the street. The patient was referred to department of Plastic Surgery for left wrist dorsal dislocation of the lunate and bilateral multiple carpal bone fractures. He was managed by open reduction and internal fixation with scapholunate ligament repair for the left wrist, while the right wrist was treated conservatively. DISCUSSION: Such cases must be treated urgently to avoid complications such as avascular necrosis of the lunate, median nerve injury, complex regional pain syndrome, and chronic carpal instability. CONCLUSION: This case is one of few cases reported in the literature highlighting the rarity of this injury pattern.
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spelling pubmed-66641572019-08-05 Trans-styloid, trans-hamate dorsal lunate dislocation: A case report Alyamani, Anas M. Alfawzan, Mohammed F. Alhassan, Turki S. Almeshal, Obaid M. Int J Surg Case Rep Article INTRODUCTION: Lunate dislocation is a rare and serious injury, frequently due to high-energy trauma such as a fall from height or a motor vehicle accident. Lunate dislocation is usually in the volar direction; however, dorsal dislocation of the lunate is extremely rare. PRESENTATION OF CASE: We report a case of 55-year-old male who sustained a high-energy trauma; he was hit by a car while crossing the street. The patient was referred to department of Plastic Surgery for left wrist dorsal dislocation of the lunate and bilateral multiple carpal bone fractures. He was managed by open reduction and internal fixation with scapholunate ligament repair for the left wrist, while the right wrist was treated conservatively. DISCUSSION: Such cases must be treated urgently to avoid complications such as avascular necrosis of the lunate, median nerve injury, complex regional pain syndrome, and chronic carpal instability. CONCLUSION: This case is one of few cases reported in the literature highlighting the rarity of this injury pattern. Elsevier 2019-07-19 /pmc/articles/PMC6664157/ /pubmed/31352321 http://dx.doi.org/10.1016/j.ijscr.2019.07.011 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alyamani, Anas M.
Alfawzan, Mohammed F.
Alhassan, Turki S.
Almeshal, Obaid M.
Trans-styloid, trans-hamate dorsal lunate dislocation: A case report
title Trans-styloid, trans-hamate dorsal lunate dislocation: A case report
title_full Trans-styloid, trans-hamate dorsal lunate dislocation: A case report
title_fullStr Trans-styloid, trans-hamate dorsal lunate dislocation: A case report
title_full_unstemmed Trans-styloid, trans-hamate dorsal lunate dislocation: A case report
title_short Trans-styloid, trans-hamate dorsal lunate dislocation: A case report
title_sort trans-styloid, trans-hamate dorsal lunate dislocation: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664157/
https://www.ncbi.nlm.nih.gov/pubmed/31352321
http://dx.doi.org/10.1016/j.ijscr.2019.07.011
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