Pancreatic malignancy presenting as duodenal ulcer (D1)

– should lunate fixation have been performed at the primary operation? Take home message: • Paediatric carpal fractures are rare and are commonly missed and possible underestimated. • No evidence exists on the specific management of paediatric lunate fractures and asymptomatic non-union in these patients. • No long term studies provide the possible sequelae of carpal fracture non-union in children. • We present a conservative management approach based on the patient’s symptoms which appears successful in the short to mid-term, however we are unable to comment on the long term prognosis.