TY - JOUR PY - 2023// TI - Anterior dislocation of the lunate due to a high-energy trauma JO - Acta ortopédica mexicana A1 - Jasqui-Remba, S. A1 - Jasqui-Bucay, A. A1 - Portman-Santos, D. SP - 106 EP - 108 VL - 37 IS - 2 N2 - Semilunate and perilunate dislocation is an injury that mostly occurs when the subject is exposed to a high-energy trauma. Considered severe, it compromises the stability and function of the wrist. The case presented is that of a 50-year-old male patient who after having a motorcycle accident arrived at the ER with neurovascular affectation, swelling, deformity and a considerable decrease of the wrist joint movement. He was also referring severe pain. A Henry (Volar) intervention was done with the help of external fixation of the lunate, followed by K-wire fixation, once a prior closed reduction was unsuccessfully attempted. The scaphoid was connected to the semilunate, and then the latter with the capitate. Ligament reconstruction followed, and stability was clinically confirmed with an X-ray. Although improvement of symptomatology was observed during the follow-up analysis, motion of the wrist remained limited. Even with the best treatment, in terms of functionality, this type of injury presents a poor prognosis.

Language: en

LA - en SN - 2306-4102 UR - http://dx.doi.org/ ID - ref1 ER -