Related Experiment Videos
Median nerve neuropathy from an old lunate dislocation
J Cara1, A Narvaez, V de la Varga
1Department of Orthopaedics, Hospital Costa del Sol, Marbella, Spain.
Acta Orthopaedica Belgica
|May 20, 1998
Summary
This case study details treating a chronic lunate dislocation with median nerve compression. Surgical excision of the lunate and carpal ligament release restored wrist function and relieved symptoms.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Nerve Surgery
Background:
- Chronic volar lunate dislocation is a rare wrist injury.
- It can lead to persistent pain and median nerve neuropathy.
- Treatment options for chronic dislocations are often complex.
Observation:
- A 37-year-old patient presented with an old volar lunate dislocation.
- The patient experienced median nerve neuropathy symptoms.
- The dislocation was relatively tolerated, influencing treatment considerations.
Findings:
- Surgical intervention involved lunate excision and transverse carpal ligament release.
- A tenosynovectomy of the flexor digitorum profundus was also performed.
- Two years post-operation, the patient exhibited near-complete wrist function.
Implications:
- This surgical approach effectively treated chronic lunate dislocation with median nerve compression.
- Restoration of wrist function and symptom resolution were achieved.
- The patient successfully returned to their occupation, demonstrating functional recovery.