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Palmar dislocation of the trans-scaphoid-lunate unit

L Ekerot1

  • 1Department of Hand Surgery, Lund University, Malmö University Hospital, Sweden.

Journal of Hand Surgery (Edinburgh, Scotland)
|August 1, 1995
PubMed
Summary

A rare total palmar trans-scaphoid-lunate wrist dislocation was successfully treated with open reduction, bone grafting, and internal fixation. Long-term follow-up showed no osteonecrosis and near-normal wrist function.

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Traumatology

Background:

  • Total palmar trans-scaphoid-lunate dislocation is an exceptionally rare and severe wrist injury.
  • Prompt and accurate diagnosis is crucial for optimal management and functional outcomes.

Observation:

  • This report details a rare case of total palmar trans-scaphoid-lunate dislocation.
  • The injury involved a complex disruption of the proximal carpal row.

Findings:

  • The patient underwent open reduction, bone grafting, and internal fixation for the dislocation.
  • Healing was uneventful, with no signs of osteonecrosis observed at the 70-month follow-up.
  • Wrist function was reported as almost normal after the extended follow-up period.

Implications:

  • This case demonstrates the potential for successful surgical management and long-term functional recovery in rare, severe wrist dislocations.
  • Bone grafting and internal fixation can provide stable fixation and promote healing in complex carpal injuries.
  • Preservation of wrist function and avoidance of osteonecrosis are achievable goals with appropriate treatment strategies.

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