Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations
Ajin Edwin, Vigneswaran Varadharajan, Praveen Bhardwaj, Shanmuganathan Raja Sabapathy
Keywords :
Case report, Carpal dislocation, Perilunate dislocation, Simultaneous scaphoid and lunate dislocation, Unitary scaphoid and lunate dislocation, Wrist trauma
Citation Information :
Edwin A, Varadharajan V, Bhardwaj P, Sabapathy SR. Scaphoid and Lunate Dislocation as a Unit—A Rare Variant of Perilunate Injury: Case Report and Literature Review for Management Recommendations. 2024; 6 (2):193-196.
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.
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