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Related Experiment Videos

Concurrent palmar lunate dislocation and posterior elbow dislocation: a case report.

Madhavan Chikkapapanna Papanna¹, Nawfal Al-Hadithy, J S Sarkar

¹Luton and Dunstable hospital NHS Trust, Luton, Bedforshire, United Kingdom. drmadhavan@hotmail.com

Journal of Orthopaedic Surgery (Hong Kong)

|December 21, 2011

Summary

This case report details a rare instance of a simultaneous left wrist lunate dislocation and left elbow posterior dislocation. Successful surgical repair led to significant pain reduction and return to work.

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Musculoskeletal Disorders

Background:

Concurrent dislocations of the wrist and elbow are uncommon injuries.
Traumatic injuries to the upper extremity require prompt and accurate diagnosis and management.

Observation:

A 40-year-old male presented with a rare combination of palmar lunate dislocation of the left wrist and posterior dislocation of the left elbow after a fall.
The patient sustained these injuries from a fall onto his outstretched left hand.

Findings:

The elbow dislocation was managed with closed reduction.
The wrist dislocation required open reduction, carpal tunnel decompression, and Kirschner wire fixation via a volar approach.
Surgical repair also included the scapholunate and radioscaphocapitate ligaments.

Implications:

This case highlights a successful treatment protocol for a complex upper extremity injury.
Prompt surgical intervention can lead to favorable outcomes, including pain relief and return to pre-injury activities.
This case contributes to the understanding of managing combined wrist and elbow dislocations.