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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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
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author Joshua Chong Yew Ong
Brian Meldan Devitt
Micheal Edmund O'Sullivan
author_facet Joshua Chong Yew Ong
Brian Meldan Devitt
Micheal Edmund O'Sullivan
author_sort Joshua Chong Yew Ong
collection DOAJ
description 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.
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spelling doaj.art-e188b5562fd84b088b6ca5d4c25ccb3a2022-12-21T19:00:47ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902012-08-012010.1177/230949901202000222Impaction-Fracture of the Capitate and Lunate: A Case ReportJoshua Chong Yew OngBrian Meldan DevittMicheal Edmund O'SullivanWe 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.https://doi.org/10.1177/230949901202000222
spellingShingle Joshua Chong Yew Ong
Brian Meldan Devitt
Micheal Edmund O'Sullivan
Impaction-Fracture of the Capitate and Lunate: A Case Report
Journal of Orthopaedic Surgery
title Impaction-Fracture of the Capitate and Lunate: A Case Report
title_full Impaction-Fracture of the Capitate and Lunate: A Case Report
title_fullStr Impaction-Fracture of the Capitate and Lunate: A Case Report
title_full_unstemmed Impaction-Fracture of the Capitate and Lunate: A Case Report
title_short Impaction-Fracture of the Capitate and Lunate: A Case Report
title_sort impaction fracture of the capitate and lunate a case report
url https://doi.org/10.1177/230949901202000222
work_keys_str_mv AT joshuachongyewong impactionfractureofthecapitateandlunateacasereport
AT brianmeldandevitt impactionfractureofthecapitateandlunateacasereport
AT michealedmundosullivan impactionfractureofthecapitateandlunateacasereport