Palmar dislocation of the lunate bone with complete disruption of all ligaments. A report on two cases.
Complete disruption of the lunate from both dorsal and palmar ligamentous attachments caused by palmar dislocation has rarely been reported. The authors present two cases and discuss the surgical treatments performed. They conclude from these cases that the lunate is at risk for remaining avascular after such trauma, so that proximal row carpectomy should be considered as a surgical option in the primary treatment.
Draaijers
Lieneke J
LJ
Department of Plastic and Reconstructive Surgery, Red Cross Hospital, Beverwijk, The Netherlands. Lienusd@hotmail.com
Kreulen
Mick
M
Maas
Mario
M
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000293:injuries*; D012667:Lunate Bone; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*