A neglected lunate dislocation in the elderly: A case report with insights from contemporary literature
Year: 2025
Type: article
Study design: Case Report
Abstract: INTRODUCTION: Lunate dislocation (LD) is an uncommon injury in the geriatric population, often occurring in young adults, and is associated with high-energy trauma. It is frequently missed in the acute stage, especially in the emergency department, and up to 25 % remain undiagnosed six weeks later. Chronic LD, particularly neglected/chronic LD (Mayfield Stage 4), is rare and is associated with poor prognosis and long-term complications. CASE PRESENTATION: This case report describes a 78-year-old patient with longstanding lunate dislocation resulting from an unknown trauma that was missed by several healthcare providers. A proximal row carpectomy was performed and the patient reported good results. DISCUSSION: While there is a consensus on the need to treat acute or chronic lunate dislocation, the optimal treatment protocols remain unclear. CONCLUSION: The rarity of this fracture contributes to missed diagnoses; therefore, this report aims to raise awareness and highlight the limited treatment options available for patients in this demographic. A high index of suspicion coupled with appropriate clinical and radiological assessment can identify LD and prevent complications that negatively impact a patient's quality of life.
Authors: Nelo J.Z.C. Lima, Onur Başçı, Vasfı Karatosun
Institution: Dokuz Eylül University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,090
OpenAlex ID: W4409464351