Avascular necrosis of the lunate secondary to perilunate fracture dislocation: Case report and review of the literature

Jorge I Quintero, Kjell Van Royen, Fadi Bouri, Mohammed Muneer, Huey Tien

Onderzoeksoutput: Article

Samenvatting

This is a 39-year-old male, fell from a bike, left wrist with trans-styloid perilunate fracture dislocation that underwent open reduction internal fixation, 20 months after surgery the patient developed avascular necrosis of the lunate, final wrist fusion was performed secondary to the arthritic changes on the wrist. Anatomic dissection was performed and vascularity of the lunate was identified, its origin is from the volar palmar arch, when dislocated palmarly and more than 90 degrees the vessel is still intact. More than 512 patients with perilunate dislocation and perilunate fracture dislocation are included we identified in the literature transient avascular necrosis of the lunate in nine and seventeen of pure avascular necrosis of the lunate. Concluding that avascular necrosis of the lunate after perilunate dislocation or perilunate fracture dislocation is an infrequent finding especially when the volar ligaments are intact.

Originele taal-2English
Pagina's (van-tot)1-5
Aantal pagina's5
TijdschriftSAGE open medical case reports
Volume9
DOI's
StatusPublished - 2021

Bibliografische nota

© The Author(s) 2021.

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