Palmar divergent dislocation of the scaphoid and lunate: case report
DOI:
https://doi.org/10.1016/j.rccot.2020.06.003Keywords:
carpal, divergent dislocation, scaphoid, lunate, carpectomyAbstract
We report the case of a 61-year-old man who presented a Palmar divergent dislocation of the scaphoid and lunate of the right wrist secondary to trauma due to the fall of a ladder in his house, who was seen 24 hours after the accident, he underwent a resection of the two bones (completely devascularized), and the Capitate bone was reduced in the lunate fossa of the radius by adding a repair of the joint capsule and the radiocarpal palmar ligaments. After the first year of follow up the result has been broadly satisfactory, with good performance of his working activity, and with a congruence of the Radial-Capitate joint with complete stability of the wrist.
Evidence Level: IV
Downloads
References
TaIeisnik I, MaIerich M, Prietto M. Palmar carpal in- stability secondary to dislocation of scaphoid and lunate: report of a case and review of literature. J Hand Surg. 1982;7:123-606. https://doi.org/10.1016/S0363-5023(82)80111-1
Kupfer K. Palmar dislocation of scaphoid and lunate as a unit: case report with special reference to carpal instability and treatment. J Hand Surg Am. 1986;11:130-4. https://doi.org/10.1016/S0363-5023(86)80120-4
Gordon SL. Scaphoid and lunate dislocation Report of a case in a patient with peripheral neuropathy. J Bone Joint Surg Am. 1972;54:1769-72. https://doi.org/10.2106/00004623-197254080-00019
Baulot E, Perez A, Hallonet D, Grammont PM. Scaphoid and lunate palmar divergent dislocation Apropos of a case. Rev Chir Orthop Reparatrice Appar Mot. 1997;83:265-9.
Kang HJ, Shim DJ, Hahn SB, Kang ES. Palmar divergent dislocation of scaphoid and lunate. Yonsei Med J. 2003;44:1091-3. https://doi.org/10.3349/ymj.2003.44.6.1091
Komura S, Yokoi T, Suzuki Y. Palmar- divergent dislocation of the scaphoid and the lunate. J Orthop Traumatol. 2011;12: 8-65. https://doi.org/10.1007/s10195-011-0131-5
Domeshek LF, Harenberg PS, Rineer CA, Hadeed JG, Marcus JR, Erdmann D. Total scapholunate dislocation with complete scaphoid extrusion: case report. J Hand Surg Am. 2010;35: 69-71. https://doi.org/10.1016/j.jhsa.2009.09.015
Phan K, Azimi H, Franko O, Abrams MDR. Scaphoid and Lunate Dislocation with Complete Soft-Tissue Avulsion A Case Report. J Bone Joint Surg Case Connect. 2016;6:e58, https://doi.org/10.2106/JBJS.CC.15.00112
Idrissi KK, Galiua F. Palmar dislocation of scaphoid and lunate. Clinics and Practice. 2011 Nov 23;1:e87, https://doi.org/10.4081/cp.2011.e87
Elsaftawy A, Jablecki J. Novel Technique in the Management of Palmar-Divergent Dislocation of Scaphoid and Lunate. Case Report. SM J Orthop. 2015;1:1005. https://doi.org/10.36876/smjo.1005
Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: patho- mechanics and progressive perilunar instability. J Hand Surg. 1980;5:226-41.
Wall LB1, Didonna ML, Kiefhaber TR, Stern PJ. Proximal row carpectomy: minimum 20-year follow-up. J Hand Surg Am. 2013;38:504-1498. https://doi.org/10.1016/j.jhsa.2013.04.028
