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Neglected Lunate Dislocation: A Case Report on Successful Management With Open Reduction and Internal Fixation
Mohammed Ali1, Ahmed Alazzawi2, Mohammed A Alwatari3
1Orthopaedic Surgery, Al Farahidi University, Baghdad, IRQ.
Cureus
|July 21, 2025
Summary
Underdiagnosed lunate dislocations can cause lasting wrist impairment. This case shows successful surgical repair of a neglected volar lunate dislocation, even six months after injury, improving function and pain.
Area of Science:
- Orthopedic Surgery
- Radiology
- Traumatology
Background:
- Lunate dislocations are frequently missed wrist injuries.
- Untreated dislocations can lead to chronic pain and functional deficits.
Observation:
- A 65-year-old male presented with persistent wrist pain six months post-fall.
- Initial diagnosis was delayed; imaging confirmed a neglected volar lunate dislocation.
Findings:
- Surgical management involved open reduction and internal fixation (ORIF) with Kirschner wires.
- The patient achieved significant pain relief and improved wrist function post-surgery.
Implications:
- Highlights the importance of timely diagnosis for lunate dislocations.
- Demonstrates the potential for successful surgical outcomes in delayed presentations.
- Emphasizes prompt orthopedic evaluation for persistent wrist pain after trauma.
