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Trans-scaphoid lunate dislocation: A case series
Albert Gjeluci1, Aleksandr Raskind2, Bennett Dwan3
1Department of Radiology, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USA.
Radiology Case Reports
|January 3, 2022
Summary
Trans-scaphoid lunate dislocations are severe wrist injuries from forceful impact. These rare Mayfield type 4 injuries often lead to significant long-term complications, requiring complex surgical treatment.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand and Wrist Surgery
Background:
- Trans-scaphoid lunate dislocation is a severe wrist injury characterized by volar displacement.
- This injury pattern, often classified as Mayfield type 4, results from forceful impact on an extended wrist.
- The disruption of wrist ligaments and compromised blood supply contribute to significant morbidity.
Observation:
- This study presents a case series of five trans-scaphoid lunate dislocations.
- The cases involved four distinct patients, highlighting the rarity of this injury pattern.
- The volar displacement extended into the wrist and distal forearm.
Findings:
- The study details the clinical presentation and management of these rare injuries.
- Treatment considerations include injury severity, chronicity, and patient-specific factors.
- Surgical options may involve open reduction and internal fixation (ORIF) or proximal row carpectomy.
Implications:
- Understanding this rare injury pattern is crucial for effective orthopedic management.
- Prompt and accurate diagnosis is essential to minimize long-term sequelae.
- Further research may elucidate optimal surgical strategies for these complex wrist dislocations.
