Simultaneous Bilateral Chronic Volar Lunate Dislocation: A Case Report

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Hand Surgery

Background:

• Simultaneous bilateral chronic volar lunate dislocation is an exceptionally rare wrist injury.
• Delayed diagnosis can lead to chronic carpal instability and pain.

Observation:

• A 24-year-old professional judo competitor sustained bilateral wrist injuries from a fall during weightlifting.
• The injury, a simultaneous bilateral volar lunate dislocation, was initially missed for one year.

Findings:

• Surgical intervention involved the simultaneous removal of degenerated lunates via a palmar approach.
• Postoperatively, at 12 months, the patient achieved pain-free return to professional judo competition.
• Radiographic evaluation indicated no progression of intercarpal alignment abnormalities.

Implications:

• This case demonstrates the feasibility of surgical management for rare bilateral chronic lunate dislocations.
• Successful outcomes in athletes underscore the importance of timely diagnosis and treatment for complex wrist injuries.
• Long-term follow-up is crucial for monitoring carpal alignment and joint stability after such injuries.