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

Ong, Joshua Chong Yew
Devitt, Brian Meldan
O'Sullivan, Micheal Edmund
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Date
2012-08
Date Submitted
Keywords
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Subject Mesh
Adolescent
Arthrodesis
Capitate Bone
Carpal Joints
Female
Fractures, Bone
Humans
Lunate Bone
Planned Date
Start Date
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Abstract
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.
Language
en
ISSN
1022-5536
eISSN
ISBN
DOI
PMID
22933688
PMCID
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