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LUNATE Dislocation

Lunate dislocation is a common carpal dislocation that can severely impair wrist function and is categorized into types such as perilunate and trans-scaphoid perilunate dislocations. Clinical features include pain, swelling, and potential carpal tunnel syndrome, with diagnosis typically confirmed through radiography. Treatment varies based on the duration of the dislocation, ranging from closed reduction and immobilization to open reduction or surgical intervention if complications arise.

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8 views9 pages

LUNATE Dislocation

Lunate dislocation is a common carpal dislocation that can severely impair wrist function and is categorized into types such as perilunate and trans-scaphoid perilunate dislocations. Clinical features include pain, swelling, and potential carpal tunnel syndrome, with diagnosis typically confirmed through radiography. Treatment varies based on the duration of the dislocation, ranging from closed reduction and immobilization to open reduction or surgical intervention if complications arise.

Uploaded by

warrior180963
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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LUNATE

DISLOCATI
ON
TABLE OF CONTENTS :

 Introduction
Types
Clinical Features
Diagnosis
Treatment
Introduction :

• It is a common carpal dislocation and can


lead to
severe disability of the wrist function.
• the ligaments on either side of the lunate
(the scapholunate ligament and the lunotriquetral
ligament).
• It is mostly prone to get fractured and
dislocation

Types :

• Perilunate dislocation
• Lunate dislocation
• Trans – scaphoid perilunate dislocation
Clinical features:

Pain
 swelling
 carpel tunnel syndrome
 parasthesia
Anterior dislocation of lunate

MOI :
1. FOOSH
It can cause carpel instability and
Arthritis

Clinical features:
Swelling
Loss of movement (wrist)
Pain
Tenderness
 Radiography :

 AP view
 Lateral view (half-moon shaped)

Treatment :

Problems
• This may cause compression of the median nerve.
• If left untreated it may cause permanent palsy, Hence, the reduction should be
carried out as an emergency procedure.

Methods
• If seen early, reduction is easy and immobilization for 3 weeks with wrist in
slight flexion usually gives good results.
• If seen after 3 weeks, open reduction is done.
• If lunate cannot be reduced by open reduction, resection of the proximal carpal
bones or arthrodesis of the wrist may be necessary.
VOLAR TRANS – SCAPHOID PERILUNAR
DISLOCATION :

This is a rare injury and is due to fall on dorsum of the flexed wrist.

Mechanism

The mechanism of injury is opposite to the dorsal perilunar dislocation.

Clinical Features

• swelling
• Pain in the wrist,
• loss of wrist function

Investigations
Plain X-ray of the wrist (AP, lateral and oblique views)

Treatment

Treatment is by closed reduction and casting


DORSAL TRANS-SCAPHOID PERILUNAR
DISLOCATION :

CLINICAL FEATURES :

• SWELLING
• LOSS OF WRIST FUNCTION
• PAIN IN THE WRIST
• DEFORMITY

INVESTIGATIONS :

Plain X-ray of the wrist (AP, lateral and oblique views)

TREATMENT

• Less than 3 weeks closed reduction can be tried.


• More than 3 weeks OR + IF by K-wires.
• More than 2 month’s arthrodesis or resection of the proximal
carpal row is carried out.
THANK
YOU

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