Impaction-fracture of the capitate and lunate: a case report.

Citation data:

Journal of orthopaedic surgery (Hong Kong), ISSN: 2309-4990, Vol: 20, Issue: 2, Page: 243-5

Publication Year:
2012
Captures 5
Readers 5
Citations 1
Citation Indexes 1
Repository URL:
http://hdl.handle.net/10147/269714
PMID:
22933688
DOI:
10.1177/230949901202000222
Author(s):
Ong, Joshua Chong Yew; Devitt, Brian Meldan; O'Sullivan, Micheal Edmund
Publisher(s):
SAGE Publications
Tags:
Medicine
article 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.