Median nerve neuropathy from an old lunate dislocation.
The case of an old volar dislocation of the lunate, associated with median nerve neuropathy, is described in a 37-year-old patient. The treatment took into account the age of the patient and the relative tolerance to the dislocation. We performed a simple excision of the lunate combined with a release of the transverse carpal ligament in order to free the median nerve, together with a tenosynovectomy of flexor digitorum profoundus. Two years after operation, wrist function was virtually complete and the patient was asymptomatic and had resumed his occupation.
Cara
J
J
Department of Orthopaedics, Hospital Costa del Sol, Marbella, Spain.
Narvaez
A
A
de la Varga
V
V
Guerado
E
E
D000328:Adult; D000367:Age Factors; D002349:Carpal Tunnel Syndrome / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000601:surgery; D008023:Ligaments, Articular / Q000601:surgery; D012667:Lunate Bone / Q000293:injuries* / Q000601:surgery; D008297:Male; D008475:Median Nerve / Q000601:surgery; D000074402:Synovectomy; D013710:Tendons / Q000601:surgery; D014954:Wrist Injuries / Q000150:complications*; D014955:Wrist Joint / Q000502:physiology