Palmar-divergent dislocation of the scaphoid and the lunate
2011

Treatment of Palmar-Divergent Dislocation of the Scaphoid and Lunate

Sample size: 1 publication Evidence: low

Author Information

Author(s): Komura Shingo, Yokoi Tatsuo, Suzuki Yasushi

Primary Institution: Gifu Prefectural General Medical Center

Hypothesis

What is the optimal treatment for palmar-divergent dislocation of the scaphoid and lunate?

Conclusion

The study reports successful treatment of a patient with palmar-divergent dislocation of the scaphoid and lunate through surgical repair of the ligaments.

Supporting Evidence

  • This is the first report showing treatment of palmar-divergent dislocation of the scaphoid and lunate by suturing the carpal interosseous ligaments.
  • At the 1-year follow-up, the patient had returned to normal life and work with no pain in his wrist.

Takeaway

A man hurt his wrist when he fell, and doctors fixed it by sewing the ligaments together. After a year, he was able to use his wrist again, but it was still a bit stiff.

Methodology

The patient underwent closed reduction followed by open surgery to suture the ligaments and fix the joints with Kirschner wires.

Limitations

The study is based on a single case, which may limit the generalizability of the findings.

Participant Demographics

A 46-year-old man.

Digital Object Identifier (DOI)

10.1007/s10195-011-0131-5

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