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[Atypical Fenton syndrome].
M Rtaimate1, E Farez, J Larivière
1Clinique Lille-Sud, SOS MAINS, 96, rue Gustave Delory 59810 Lesquin, France. rtaimate@aol.com
Chirurgie De La Main
|October 5, 2001
Summary
A rare carpal fracture involved enucleation of the lunate bone. Surgical treatment included capitate fixation and proximal row carpectomy, resulting in good long-term wrist function.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Carpal fracture-dislocations are complex injuries requiring precise management.
- Posterior open carpal fracture-dislocation with trans-scaphoid, trans-capitate involvement and radius styloid fracture presents a significant surgical challenge.
Observation:
- A 41-year-old male patient presented with a severe posterior open carpal fracture-dislocation.
- A unique feature of this case was the enucleation of the lunate bone.
- The injury also included a trans-scaphoid, trans-capitate fracture-dislocation and a radius styloid process fracture.
Findings:
- The patient underwent a two-stage surgical treatment: initial capitate fixation with external fixation, followed by proximal row carpectomy after capitate healing.
- At four-year follow-up, the patient exhibited excellent radiological and clinical outcomes.
- Radiographic assessment confirmed good vascularization of the capitate head.
Implications:
- This case highlights an unconventional yet effective treatment strategy for complex carpal injuries with lunate enucleation.
- The successful outcome suggests that proximal row carpectomy can be a viable option in managing such severe carpal disruptions.
- Further research into similar complex carpal injuries may refine treatment protocols and improve patient prognosis.