Résumé
A 28-year-old man presented with a palmar divergent dislocation of the scaphoid and lunate. He was treated with an open reduction and an internal fixation with two Kirschner's wires after the 25th day of trauma due to a neurological injury. The results were satisfactory after 18 months follow up without any evidence of avascular necrosis and traumatic arthritis of the scaphoid and lunate. The patient had no limitation in motion or intermittent wrist pain. We reported this case with a brief review of relevant literatures.
Sujets)
Adulte , Humains , Mâle , Arthrographie , Fils métalliques , Luxations/étiologie , Ostéosynthèse interne , Os scaphoïde , Os lunatum , Tomodensitométrie , Traumatismes du poignet/complicationsRésumé
Fracture and dislocation of carpal bones are usually presented as lunar or perilunar dislocation. Palmar divergent dislocation of the scaphoid and lunate has only been reported in 4 cases until now. We experienced a case of palmar divergent dislocation of the scphoid and lunate with a fall from height injury in a 28-year-old male patient. We treated with open reduction and internal fixation with two Kirschner's wires. The result was satisfactory without evidence of avascular necrosis or traumatic arthritis of the scaphoid and lunate after 12months of follow up. We report upon this case with a brief review of the literature.