Transverse translunate fracture–dislocation: a rare injury

Sabri Mahjoub (1) , Bertrand Dunet (2) , Patricia Thoreux (3) , Alain-Charles Masquelet (1)

1 Hôpital Avicenne [AP-HP]
2 Hôpital Pellegrin
3 IBHGC - Institut de Biomécanique Humaine Georges Charpak

Perilunate fracture–dislocation is rare. We report the case of a 24-year-old male who fell from his motorcycle and presented with a transverse lunate fracture with perilunate ligament damage. The initial diagnosis based on X-rays was confirmed by CT scan. A dorsal approach was used to obtain good reduction, double screw fixation and ligament reinsertion protected by temporary K-wires. To the best of our knowledge, this is the first case of transverse lunate fracture within perilunate fracture–dislocation. The patient returned to normal activities after 6 months.

Keywords: Carpus; Lunate; Dislocation; Fracture; Ligament

Domains: Life Sciences [q-bio]

Sabri Mahjoub, Bertrand Dunet, Patricia Thoreux, Alain-Charles Masquelet. Transverse translunate fracture–dislocation: a rare injury. Hand Surgery and Rehabilitation, 2016, 35 (3), pp.220-224. ⟨10.1016/j.hansur.2016.02.008⟩. ⟨hal-02564102⟩