Arthroscopic treatment of a fresh lunate bone fracture detaching the scapholunate ligament
Autor: | C. Dana, L. Doursounian, G. Nourissat |
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Rok vydání: | 2010 |
Předmět: |
Adult
Joint Instability Male Wrist Joint medicine.medical_specialty Bone Screws Wrist Arthroscopy Fracture Fixation Internal Fractures Bone Rare Diseases Skiing Fracture fixation Wrist arthroscopy Humans Medicine Orthopedics and Sports Medicine Lunate Bone Range of Motion Articular Hand Strength medicine.diagnostic_test business.industry Lunate bone General Medicine Scapholunate ligament Surgery Splints Treatment Outcome medicine.anatomical_structure Ligaments Articular Ligament Tomography X-Ray Computed business Bone Wires |
Zdroj: | Chirurgie de la Main. 29:114-117 |
ISSN: | 1297-3203 |
DOI: | 10.1016/j.main.2010.01.001 |
Popis: | Fractures of the lunate bone are rare and usually treated by prolonged immobilization. We report a fracture of the dorsal pole of the lunate bone detaching the scapholunate ligament. The clinical presentation was equivalent to an acute disruption of this ligament. Percutaneous screw repair of the bone fragment was performed under wrist arthroscopy. The patient kept an analgesic splint for five days and early mobilization was provided. After 6 weeks, the patient had returned to his previous level of activity with normal wrist motion and full strength. Screw fixation under arthroscopy is minimally invasive and provides accurate restoration of the lunar anatomy, yielding good functional results after a short recovery period. This treatment offers a satisfactory alternative to prolonged immobilization and ensures good reduction and compression of the fracture. We present a detailed description of the surgical technique and its results. |
Databáze: | OpenAIRE |
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