Garg Bipul K, Dave Harshit
Department of Orthopaedic Surgery, Sir J.J. Group of Hospitals and Grant Medical College, Mumbai, Maharashtra, India.
J Orthop Case Rep. 2020 May-Jun;10(3):76-79. doi: 10.13107/jocr.2020.v10.i03.1758.
Scapholunate dissociation and ulnar impaction syndrome are common causes of wrist pain but often missed on initial clinical and radiological evaluation; hence, diagnosis is delayed. Management is challenging as there is diversity in surgical option. There is not a single case in literature described for both scapholunate dissociation and ulnar impaction syndrome treated in one setting. We are presenting a case of both ulnar impaction syndrome and scapholunate dissociation treated surgically in one setting with good functional outcome.
A 30-year-old male with chronic scapholunate dissociation and ulnar impaction syndrome treated with modified Brunelli technique for scapholunate dissociation and extra-articular ulnar shortening osteotomy for ulnar impaction syndrome in one setting with good functional outcome.
In cases with scapholunate dissociation and ulnar impaction syndrome, treatment should be directed toward both. When done with careful pre-operative evaluation and planning in one setting, can yield favorable results.
舟月关节分离和尺骨撞击综合征是腕部疼痛的常见原因，但在初次临床和影像学评估时常常被漏诊；因此，诊断会被延迟。由于手术选择多样，治疗具有挑战性。文献中没有描述在同一病例中同时治疗舟月关节分离和尺骨撞击综合征的情况。我们报告一例在同一病例中通过手术同时治疗尺骨撞击综合征和舟月关节分离且功能预后良好的病例。
一名30岁男性患有慢性舟月关节分离和尺骨撞击综合征，在同一病例中采用改良布鲁内利技术治疗舟月关节分离，并采用关节外尺骨短缩截骨术治疗尺骨撞击综合征，功能预后良好。
对于患有舟月关节分离和尺骨撞击综合征的病例，应同时针对两者进行治疗。在同一病例中进行仔细的术前评估和规划后进行治疗，可取得良好效果。
