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Neglected trans-scaphoid trans-styloid volar dislocation of the lunate

LATE RESULT FOLLOWING OPEN REDUCTION AND K-WIRE FIXATION

¹ 1st Orthopaedic Department, Aristotle University of Thessaloniki "George Papanikolaou" Hospital, Exochi, Thessaloniki 570101, Greece.

Correspondence should be sent to Dr P. Givissis; e-mail: givissis{at}med.auth.gr

A rare case of radiocarpal dislocation is presented. The lunate and proximal pole of the scaphoid were displaced in a volar and proximal direction. The injury was missed initially and the patient was subsequently operated on six weeks later. Open reduction and internal fixation of the scaphoid was performed and this was followed by an uneventful postoperative period, with a satisfactory functional outcome at the eight-year follow-up, despite carpal instability non-dissociative-dorsal intercalated segmental instability configuration of the carpus.

We believe that although open reduction in neglected cases carries the potential risks of avascular necrosis and nonunion of the affected carpal bones, an attempt should be made to restore the anatomy of the carpus.