Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Department of Hand Surgery, Nara Medical University, Kashihara, Nara, Japan.
JBJS Case Connect. 2022 Jun 15;12(2). doi: e22.00094. eCollection 2022 Apr 1.
A 24-year-old professional judo competitor suffered injuries to both the wrists when he fell on his back while lifting a 90-kg barbell in the bilateral dorsiflexed wrist position. Simultaneous bilateral volar lunate dislocation had been missed for a year. The degenerated lunates were simultaneously removed using a palmar approach. At 12 months postoperatively, the patient returned to judo competitions without pain. Radiography showed no progression of the intercarpal alignment abnormality.
Simultaneous bilateral chronic volar lunate dislocation is extremely rare. Long-term follow-up is necessary to check for carpal alignment.
一名 24 岁职业柔道选手在双侧背屈手腕位置举重 90 公斤杠铃时背部摔倒,导致双手腕受伤。一年来一直漏诊双侧掌侧月骨脱位。采用掌侧入路同时切除退变的月骨。术后 12 个月,患者返回柔道比赛,无疼痛。影像学显示腕骨间排列异常无进展。
同时发生的双侧慢性掌侧月骨脱位极为罕见。需要长期随访以检查腕骨对线。