Pseudarthrosis after disruption of an incomplete luno-triquetral coalition: a case report

نویسندگان

  • Oliver Lotter
  • Amro Amr
  • Stephane Stahl
  • Stephan Clasen
  • Christina Schraml
  • Matthias Pfau
  • Hans-Eberhard Schaller
چکیده

Whilst bony luno-triquetral coalitions are known to be asymptomatic, fibro-cartilage unions can cause ulnar-sided wrist pain. The purpose is to present the rare case of painful pseudarthrosis after traumatic disruption of an incomplete luno-triquetral coalition. Recommendations for proper diagnosis and treatment options will be discussed. The case of a 35-year-old male patient is reported, where disruption of a fibro-cartilaginous luno-triquetral coalition resulted in a painful pseudarthrosis. Luno-triquetral fusion with a corticocancellous wedge from the iliac crest and a Herbert screw was undertaken. Using this method pain was relieved but resulted in minor loss of range of motion. We recommend luno-triquetral fusion in the rare case of fracture or pseudarthrosis of a luno-triquetral coalition. The use of a corticocancellous wedge should be considered depending on gap formation after resection of the pseudarthrosis.

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عنوان ژورنال:

دوره 8  شماره 

صفحات  -

تاریخ انتشار 2010