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Bilateral volar lunate dislocation.

C G Dimitriou1, B Chalidis, J Pournaras

  • 1First Orthopaedic Department, Aristotle University of Thessaloniki "G.Papanikolaou" Hospital, Exohi, Thessaloniki, Greece. chgdim@otenet.gr

The Journal of Hand Surgery, European Volume
|February 27, 2007
PubMed
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This case study reports a 12-year follow-up of bilateral wrist dislocations. Despite aseptic necrosis, the patient achieved pain-free, functional recovery without complications.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Trauma Management

Background:

  • Bilateral volar lunate dislocation is a rare wrist injury.
  • Timely surgical intervention is crucial for optimal outcomes.
  • Delayed treatment can lead to complications like avascular necrosis.

Observation:

  • A 12-year follow-up of a patient with bilateral volar lunate dislocation.
  • Treatment involved open reduction and K-wire stabilization six days post-injury.
  • Avascular necrosis of both lunate bones was observed.

Findings:

  • The patient remained pain-free with useful wrist function after 12 years.
  • No signs of lunate ischemia, collapse, carpal instability, or osteoarthritis developed.
  • Successful management of a rare bilateral wrist injury with delayed treatment.

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Implications:

  • Delayed surgical treatment of volar lunate dislocation can still yield favorable functional outcomes.
  • Aggressive surgical management may prevent long-term complications despite initial avascular necrosis.
  • This case highlights the potential for good prognosis in complex wrist trauma with appropriate intervention.