Palmar dislocation of the lunate bone with complete disruption of all ligaments A report on two cases


Published online: Oct 27 2003

Lieneke J. DRAAIJERS, Mick KREULEN 2 , Mario MAAS

From the Red Cross Hospital, Beverwijk and the Academic Medical Center, Amsterdam, The Netherlands.

Abstract

Complete disruption of the lunate from both dorsal and palmar ligamentous attachments caused by palmar dislocation has rarely been reported. The authors present two cases and discuss the surgical treatments performed. They conclude from these cases that the lunate is at risk for remaining avascu-lar after such trauma, so that proximal row carpec-tomy should be considered as a surgical option in the primary treatment.