Suture Anchor Fixation for Lunate Osteochondral Shear Fracture: A Case Report.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 07 2023
Historique:
medline: 21 8 2023
pubmed: 17 8 2023
entrez: 17 8 2023
Statut: epublish

Résumé

A 26-year-old right-hand-dominant man sustained a left transradial, translunate perilunate injury after motor vehicle collision. The proximal lunate fractured a primarily cartilaginous 15 × 15 mm osteochondral shear fragment with 40% articular surface involvement. A novel lunate fracture suture anchor fixation technique is described, which led to fracture healing. The radial styloid was treated with a single screw. Translunate perilunate injuries involving the lunate proximal articular surface are rare. Treatment recommendations are limited to case reports. Suture anchor fixation led to stable fixation and fracture healing at the final 6-month postoperative follow-up.

Identifiants

pubmed: 37590428
doi: 10.2106/JBJS.CC.23.00205
pii: 01709767-202309000-00059
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C176).

Références

Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am. 1980;5(3):226-41.
Bain GI, Pallapati S, Eng K. Translunate perilunate injuries: a spectrum of this uncommon injury. J Wrist Surg. 2013;2(1):63-8.
Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am. 1993;18(5):768-79.
Bain GI, McLean JM, Turner PC, Sood A, Pourgiezis N. Translunate fracture with associated perilunate injury: 3 case reports with introduction of the translunate arc concept. J Hand Surg. 2008;33(10):1770-6.
Muppavarapu RC, Capo JT. Perilunate dislocations and fracture dislocations. Hand Clin. 2015;31(3):399-408.
Teisen H, Hjarbaek J. Classification of fresh fractures of the lunate. J Hand Surg Br. 1988;13(4):458-62.
Enoki NR, Sheppard JE, Taljanovic MS. Transstyloid, translunate fracture-dislocation of the wrist: case report. J Hand Surg. 2008;33(7):1131-4.
Hsu AR, Hsu PA. Unusual case of isolated lunate fracture without ligamentous injury. Orthopedics. 2011;34(11):e785-9.
Mahjoub S, Dunet B, Thoreux P, Masquelet AC. Transverse translunate fracture-dislocation: a rare injury. Hand Surg Rehabil. 2016;35(3):220-4.
Saberi S, Arabzadeh A, Farhoud AR. Lunate osteochondral fracture treated by excision: a case report and literature review. Trauma Monthly. 2016;21(2):22378.

Auteurs

Mitchell A Solano (MA)

Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

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