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Neglected Lunate Dislocation: A Case Report on Successful Management With Open Reduction and Internal Fixation

Year: 2025

Type: article

Abstract: Lunate dislocations are often underdiagnosed wrist injuries that typically result from a fall onto an outstretched hand. If left untreated, they may lead to significant functional impairment. We report the case of a 65-year-old man who presented with persistent wrist pain six months after a fall. The initial diagnosis was missed. Radiographs and computed tomography (CT) revealed a neglected volar lunate dislocation. Surgical management with open reduction and internal fixation (ORIF) using Kirschner wires was performed under regional anesthesia. The patient experienced substantial pain relief and improved wrist function postoperatively. This case underscores the importance of early diagnosis and surgical intervention while demonstrating that favorable outcomes can still be achieved in delayed presentations.

Source: Cureus

DOI: 10.7759/cureus.86257

Authors: Mohammed Ali, Ahmed Alazzawi, Mohammed A Alwatari, Abdullah Zalzala, Mohammed Alghannami

Institutions: Al-Farahidi University, University of Baghdad

Language: English

Topic: Orthopedic Surgery and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411430846