A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release
A young 22-year-old male presented with complaints of pain, tingling, and numbness over his right wrist for 1 year and had a history of falls on his outstretched hand. Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-09, Vol.15 (9) |
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| creator | Chowdhary, Sahil Kale, Amit |
| description | A young 22-year-old male presented with complaints of pain, tingling, and numbness over his right wrist for 1 year and had a history of falls on his outstretched hand. Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was done. MRI findings are suggestive of avascular necrosis of the lunate along with lunate dislocation with marrow edema/contusion in the lunate. Complete disruption of the scapholunate, lunotriquetral, and radioscaphocapitate ligaments was noted. The patient was operated with lunate excision with carpal tunnel release and given strict pillow cover elevation in a volar slab. |
| doi_str_mv | 10.7759/cureus.45957 |
| format | Article |
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Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was done. MRI findings are suggestive of avascular necrosis of the lunate along with lunate dislocation with marrow edema/contusion in the lunate. Complete disruption of the scapholunate, lunotriquetral, and radioscaphocapitate ligaments was noted. The patient was operated with lunate excision with carpal tunnel release and given strict pillow cover elevation in a volar slab.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.45957</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Arthritis ; Carpal tunnel syndrome ; Case reports ; Necrosis ; Orthopedics ; Pain ; Range of motion ; Sports injuries ; Trauma ; X-rays</subject><ispartof>Curēus (Palo Alto, CA), 2023-09, Vol.15 (9)</ispartof><rights>Copyright © 2023, Chowdhary et al. 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The patient was operated with lunate excision with carpal tunnel release and given strict pillow cover elevation in a volar slab.</description><subject>Arthritis</subject><subject>Carpal tunnel syndrome</subject><subject>Case reports</subject><subject>Necrosis</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Range of motion</subject><subject>Sports injuries</subject><subject>Trauma</subject><subject>X-rays</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkc1KAzEUhQdRULQ7HyDg1moyTeZnJWX8hapQKi7DncxNG5kmNZkp-ky-pDNtFV0l5H7nnEtOFJ0yepGmIr9Urcc2XHCRi3QvOopZkg0zlvH9P_fDaBDCG6WU0TSmKT2KvsZkCh5JAQGJ06RYeGeNIpPWQoPk2oTaKWiMs2RcOzsnr6ZZkPEagmpr8OQJlXfBhF7bLPBHt6EesTJgO8SvuwC3XHkMoXeaeeygakvtFDcfymyGm8cC_ApqMmutxZpMscZuv5PoQEMdcLA7j6OX25tZcT-cPN89FOPJUMWcN0OApETQSsMoLcuKaahEkmMqKi3ySlTAdYwKM-QMShVrkTEGLAddllQJTEfH0dXWd9WWS6wU2sZDLVfeLMF_SgdG_p9Ys5Bzt5aMJpQmnHcOZzsH795bDI18c6233dIyzjIukpFI-pzzLdV_YfCofyMYlX2nctup3HQ6-gaitptF</recordid><startdate>20230925</startdate><enddate>20230925</enddate><creator>Chowdhary, Sahil</creator><creator>Kale, Amit</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>5PM</scope></search><sort><creationdate>20230925</creationdate><title>A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release</title><author>Chowdhary, Sahil ; Kale, Amit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c244t-aa6beafcfa37bbd1fad569e75df59d5da4f2ece8e41abc2f5811a19afbb0c5e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Arthritis</topic><topic>Carpal tunnel syndrome</topic><topic>Case reports</topic><topic>Necrosis</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Range of motion</topic><topic>Sports injuries</topic><topic>Trauma</topic><topic>X-rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chowdhary, Sahil</creatorcontrib><creatorcontrib>Kale, Amit</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chowdhary, Sahil</au><au>Kale, Amit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2023-09-25</date><risdate>2023</risdate><volume>15</volume><issue>9</issue><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>A young 22-year-old male presented with complaints of pain, tingling, and numbness over his right wrist for 1 year and had a history of falls on his outstretched hand. Radiological evaluations such as X-rays were done, which showed a break in the proximal carpal arc. An MRI of the affected wrist was done. MRI findings are suggestive of avascular necrosis of the lunate along with lunate dislocation with marrow edema/contusion in the lunate. Complete disruption of the scapholunate, lunotriquetral, and radioscaphocapitate ligaments was noted. The patient was operated with lunate excision with carpal tunnel release and given strict pillow cover elevation in a volar slab.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.45957</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2168-8184 |
| ispartof | Curēus (Palo Alto, CA), 2023-09, Vol.15 (9) |
| issn | 2168-8184 2168-8184 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10600644 |
| source | PubMed Central Open Access; PubMed Central |
| subjects | Arthritis Carpal tunnel syndrome Case reports Necrosis Orthopedics Pain Range of motion Sports injuries Trauma X-rays |
| title | A Rare Case of Chronic Lunate Dislocation Along With Avascular Necrosis of the Lunate With Median Nerve Compression Treated With Lunate Excision With Carpal Tunnel Release |
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