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Metacarpal Small Incision for Carpal Tunnel Syndrome
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Lunate dislocation causing median nerve entrapment.

M Bhatia1, Alok Sharma2, R Ravikumar3

  • 1Associate Professor, Department of Radiodiagnosis, Armed Forces Medical College, Pune 411040, India.

Medical Journal, Armed Forces India
|January 27, 2017
PubMed
Summary
This summary is machine-generated.

Lunate dislocation, a rare injury from high-energy trauma, can cause median nerve compression. This volar bone displacement is an uncommon cause of carpal tunnel entrapment neuropathy.

Keywords:
Entrapment neuropathyLunate dislocationMRIRadiography

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Neurology

Background:

  • Lunate dislocation is an infrequent injury typically seen in young adults.
  • It often results from significant, high-energy trauma to the wrist.
  • Volar displacement of the lunate bone is a key characteristic of this injury.

Purpose of the Study:

  • To describe the mechanism and consequences of lunate dislocation.
  • To highlight the potential for median nerve compression within the carpal tunnel.
  • To underscore its role as an uncommon cause of entrapment neuropathy.

Main Methods:

  • Review of existing literature on lunate dislocations.
  • Analysis of case studies involving high-energy wrist trauma.
  • Correlation of radiographic findings with clinical presentation of nerve compression.

Main Results:

  • Volar displacement of the lunate bone was consistently observed.
  • Median nerve compression within the carpal tunnel was a noted complication.
  • Entrapment neuropathy was identified as an infrequent but significant outcome.

Conclusions:

  • Lunate dislocation is a serious wrist injury requiring prompt diagnosis and management.
  • The volar displacement poses a risk of secondary median nerve compromise.
  • Early recognition is crucial to prevent long-term neurological deficits.