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Impaction-fracture of the capitate and lunate: a case report
Joshua Chong Yew Ong1, Brian Meldan Devitt, Micheal Edmund O'Sullivan
1Department of Trauma and Orthopaedics, Galway University Hospital, Galway, Ireland. josh.cy.ong@gmail.com
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.
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