Journal List > J Korean Soc Surg Hand > v.19(1) > 1106478

Lee, Bae, Park, and Park: Neglected Isolated Lunate Fracture

Abstract

Isolate fracture of lunate is very rare. The authors reported a neglected fracture of lunate which was founded incidentally after the dorsal wall fracture of triquetrum. Pain reduction and improvement of range of motion was achieved after excising the dorsal fragment of lunate.

References

1. Lee SP, Jung JH, Kim JH, Lee KH, Chung US. Clinical results of perilunar fracture dislocation according to Mayfield stage and Herzberg stage. J Korean Soc Surg Hand. 2005; 10:59–65.
2. Teisen H, Hjarbaek J. Classification of fresh fractures of the lunate. J Hand Surg Br. 1988; 13:458–62.
crossref
3. Akahane M, Ono H, Sada M, Saitoh M. Bilateral bipartite lunate: a case report. J Hand Surg Am. 2002; 27:355–9.
crossref
4. Drez D Jr, Romero JR 3rd. Congenital bipartite carpal lunate: a case report. Am J Sports Med. 1978; 6:405–8.
5. Loh BW, Harvey J, Ek ET. Congenital bipartite lunate presenting as a misdiagnosed lunate fracture: a case report. J Med Case Rep. 2011; 5:102.
crossref
6. Luo J, Diao E. Kienbock's disease: an approach to treatment. Hand Clin. 2006; 22:465–73.
7. Galbraith PJ, Richardson ML. Fracture of the lunate: radiographic findings and case report. Case Rep Radiol. 2007; 2:13–6.
crossref
8. Hsu AR, Hsu PA. Unusual case of isolated lunate fracture without ligamentous injury. Orthopedics. 2011; 34:e785–9.
crossref
9. Lee CH, Lee KH. Symptomatic bilateral bipartite lunate: a case report. J Hand Surg Eur. 2013; Oct 25 [Epub]. http://dx.doi.org/10.1177/1753193413508513.
crossref
10. Chen WS. Median-nerve neuropathy associated with chronic anterior dislocation of the lunate. J Bone Joint Surg Am. 1995; 77:1853–7.
crossref

Fig. 1.
Radiographs showed collapse and fragmentation of lunate and fracture of triquetrum.
jkssh-19-52f1.tif
Fig. 2.
Computed tomography of right wrist showed evidence of callus formation between volar and dorsal lunate fragments without smooth and well corticated margin.
jkssh-19-52f2.tif
Fig. 3.
(A) T1 and (B) T2 weighted images showed no signal change in the lunate.
jkssh-19-52f3.tif
Fig. 4.
At 1 year follow-up, there was no deterioration in radiograph.
jkssh-19-52f4.tif
TOOLS
Similar articles