title: Impaction-fracture of the capitate and lunate: a case report.
abstract: We report a 15-year-old girl who underwent a mid-carpal fusion for undiagnosed impaction-fractures of the capitate, lunate, and triquetrum after a fall on her outstretched left hand in a dorsiflexed and radially deviated position. The joint was dis-impacted, and the height of the lunate was restored using a cortical bone graft. The damaged proximal capitate articular surface was decorticated to facilitate fusion, as was the lunotriquetral articulation. Kirschner wires were inserted along the coronal plane. At the one-year follow-up, the patient had achieved a satisfactory range of motion and fusion of the capitate-lunate-triquetral articulations.
authors.affiliation: Department of Trauma and Orthopaedics, Galway University Hospital, Galway, Ireland. josh.cy.ong@gmail.com
authors.forename: Joshua Chong Yew
authors.initials: JC
authors.lastname: Ong
authors.forename: Brian Meldan
authors.initials: BM
authors.lastname: Devitt
authors.forename: Micheal Edmund
authors.initials: ME
authors.lastname: O'Sullivan
mesh_terms: D000293:Adolescent; D001174:Arthrodesis; D051224:Capitate Bone / Q000293:injuries*; D050824:Carpal Joints / Q000293:injuries* / Q000601:surgery; D005260:Female; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D012667:Lunate Bone / Q000293:injuries*