Impaction-Fracture of the Capitate and Lunate: A Case Report

We report a 15-year-old girl who underwent a mid-carpal fusion for undiagnosed impaction-fractures of the capitate, lunate, and triquetrum after a fall on her outstretched left hand in a dorsiflexed and radially deviated position. The joint was dis-impacted, and the height of the lunate was restored...

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Bibliographic Details
Main Authors: Joshua Chong Yew Ong, Brian Meldan Devitt, Micheal Edmund O'Sullivan
Format: Article
Language:English
Published: SAGE Publishing 2012-08-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949901202000222
Description
Summary:We report a 15-year-old girl who underwent a mid-carpal fusion for undiagnosed impaction-fractures of the capitate, lunate, and triquetrum after a fall on her outstretched left hand in a dorsiflexed and radially deviated position. The joint was dis-impacted, and the height of the lunate was restored using a cortical bone graft. The damaged proximal capitate articular surface was decorticated to facilitate fusion, as was the lunotriquetral articulation. Kirschner wires were inserted along the coronal plane. At the one-year follow-up, the patient had achieved a satisfactory range of motion and fusion of the capitate-lunate-triquetral articulations.
ISSN:2309-4990