Onuoha K M, Ajiboye O K, Bassey A E
Cedarcrest Hospitals, No. 2 Sam Mbakwe Street, Gudu District, Abuja, Nigeria.
J West Afr Coll Surg. 2018 Oct-Dec;8(4):125-135.
Lunate dislocation is a circumambient disruption of the lunate bone. It is an uncommon but devastating wrist injury that can have negative effect on lifestyle with significant morbidity. This injury can go unrecognized by physicians resulting in complications including but not limited to carpal tunnel syndrome and Kienbock's disease. We present two cases of type 4 lunate dislocation that presented within 24 hours of injury; one had fallen off a moving motorcycle while the other had been involved in a motor vehicle accident. The second developed carpal tunnel syndrome. Radiographs showed typical appearances. Both had Open Reduction with Internal Fixation (ORIF), recovered well, and had good function at the outpatient follow-up.
月骨脱位是月骨的周围性破坏。它是一种罕见但严重的腕部损伤，会对生活方式产生负面影响，导致明显的发病率。这种损伤可能未被医生识别，从而引发包括但不限于腕管综合征和月骨无菌性坏死等并发症。我们报告两例伤后24小时内就诊的4型月骨脱位病例；一例从行驶的摩托车上摔下，另一例遭遇机动车事故。第二例出现了腕管综合征。X线片显示出典型表现。两例均接受了切开复位内固定术（ORIF），恢复良好，门诊随访时功能良好。
