Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations
Background: Volar dislocation of the scaphoid and lunate represents a rare and complex wrist injury, with significant diagnostic and therapeutic implications. Case description: We report a unique case involving a 50-year-old male who experienced a high-energy motorbike accident, leading to acute pai...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1156 |
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| author | Ajin Edwin Vigneswaran Varadharajan Praveen Bhardwaj Shanmuganathan Raja Sabapathy |
| author_facet | Ajin Edwin Vigneswaran Varadharajan Praveen Bhardwaj Shanmuganathan Raja Sabapathy |
| author_sort | Ajin Edwin |
| collection | DOAJ |
| description | Background: Volar dislocation of the scaphoid and lunate represents a rare and complex wrist injury, with significant diagnostic and therapeutic implications.
Case description: We report a unique case involving a 50-year-old male who experienced a high-energy motorbike accident, leading to acute pain and swelling in his left wrist. His clinical examination was significant for localized swelling and tenderness, wrist deformity, and restricted painful range of motion, but without sensory loss in the median and ulnar nerve distribution areas. Radiographic evaluations including X-rays, revealed a rare volar dislocation of the scaphoid and lunate. The patient was managed by open reduction of the scapholunate (SL) dislocation and K-wire stabilization of the intercarpal and radiocarpal joints, and it resulted in a good functional outcome.
Conclusion: In summary, this case presents a rare scenario of volar SL dislocation as a unit, emphasizing the importance of meticulous evaluation and customized surgical planning.
Clinical significance: This case underscores the importance of early identification and management of such rare injuries to maximize patient outcomes and minimize potential complications such as persistent carpal instability, reduced wrist movements, and early wrist arthritis. |
| format | Article |
| id | doaj-art-289db3f92a2a453dab8765ad463102fb |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-289db3f92a2a453dab8765ad463102fb2025-02-07T11:18:36ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016219319610.5005/jojs-10079-115623Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management RecommendationsAjin Edwin0https://orcid.org/0000-0002-9906-9950Vigneswaran Varadharajan1https://orcid.org/0000-0003-1321-8837Praveen Bhardwaj2https://orcid.org/0000-0001-9375-5282Shanmuganathan Raja Sabapathy3https://orcid.org/0000-0002-0456-8555Department of Plastic and Hand Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic and Hand Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaPraveen Bhardwaj, Department of Plastic and Hand Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India, Phone: +91 9944562422Department of Plastic and Hand Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaBackground: Volar dislocation of the scaphoid and lunate represents a rare and complex wrist injury, with significant diagnostic and therapeutic implications. Case description: We report a unique case involving a 50-year-old male who experienced a high-energy motorbike accident, leading to acute pain and swelling in his left wrist. His clinical examination was significant for localized swelling and tenderness, wrist deformity, and restricted painful range of motion, but without sensory loss in the median and ulnar nerve distribution areas. Radiographic evaluations including X-rays, revealed a rare volar dislocation of the scaphoid and lunate. The patient was managed by open reduction of the scapholunate (SL) dislocation and K-wire stabilization of the intercarpal and radiocarpal joints, and it resulted in a good functional outcome. Conclusion: In summary, this case presents a rare scenario of volar SL dislocation as a unit, emphasizing the importance of meticulous evaluation and customized surgical planning. Clinical significance: This case underscores the importance of early identification and management of such rare injuries to maximize patient outcomes and minimize potential complications such as persistent carpal instability, reduced wrist movements, and early wrist arthritis.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1156case reportcarpal dislocationperilunate dislocationsimultaneous scaphoid and lunate dislocationunitary scaphoid and lunate dislocationwrist trauma |
| spellingShingle | Ajin Edwin Vigneswaran Varadharajan Praveen Bhardwaj Shanmuganathan Raja Sabapathy Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations Journal of Orthopedics and Joint Surgery case report carpal dislocation perilunate dislocation simultaneous scaphoid and lunate dislocation unitary scaphoid and lunate dislocation wrist trauma |
| title | Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations |
| title_full | Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations |
| title_fullStr | Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations |
| title_full_unstemmed | Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations |
| title_short | Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations |
| title_sort | scaphoid and lunate dislocation as a unit a rare variant of perilunate injury case report and literature review for management recommendations |
| topic | case report carpal dislocation perilunate dislocation simultaneous scaphoid and lunate dislocation unitary scaphoid and lunate dislocation wrist trauma |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1156 |
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