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Delayed Post-Traumatic Midcarpal DislocationFrom the Department of Orthopaedics, Derriford Hospital, Plymouth, Devon, UK Correspondence: Ms Sue Fullilove, Consultant Orthopaedic Surgeon, Hand and Wrist Specialist, Derriford Hospital, Plymouth, Devon PL6 8DH, UK. Tel./fax: +44 01752 517765. E-mail:suefullilove{at}doctors.org.uk We report a case of delayed post-traumatic volar midcarpal dislocation in a 39 year-old woman. The dislocation was a gradual process starting from the time of injury. Initial X-rays showed a normal midcarpal joint. By 6 weeks, lunocapitate subluxation was apparent radiologically and by the 18 week X-ray, midcarpal dislocation had occurred. This type of wrist injury has not been previously reported. Because of advanced degenerative changes in the lunocapitate joint, a partial wrist fusion was performed with a successful outcome.
Key Words: delayed midcarpal dislocation carpal instability non-dissociative
Journal of Hand Surgery (European Volume), Vol. 32, No. 5,
554-555 (2007) |
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