A 13-year-old girl presented with a 5-month history of right (dominant) wrist pain that resulted from a forced dorsiflexion-type injury. She experienced progressive discomfort in the wrist that subsequently was associated with stiffness and weakness. The pain persisted even though she curtailed her sporting activities, and it became progressive and disabling. She had no history of a fracture or...

Introduction Painful destruction of the wrist as a consequence of scaphoid non-union advanced collapse (SNAC) or chronic advanced scapho-lunate dissociation (SLAC) is a challenge to treat. In the late stages of either condition, only salvage procedures can be discussed. The option of proximal row carpectomy (PRC) only remains available in stage II, when the mid-carpal joint is still preserved a...

Perilunate and perilunate fracture dislocations are high-energy injuries with the wrist loaded in extension, ulnar deviation, and intercarpal supination. The force vector travels from a radial to a ulnar direction and can result in complex carpal instability. The diagnosis is often delayed, which can result in suboptimal outcomes. Nonoperative management can produce inferior results, with patie...

This article describes a case of a 24-year-old man with a total volar extrusion of the lunate and scaphoid proximal pole with concurrent scapholunate dissociation. The viability of the lunate and the proximal pole of the scaphoid are at high risk in this type of injury. Scaphoid nonunion, avascular necrosis of the lunate and proximal pole of the scaphoid, and carpal instability are inevitable u...

Background Scapholunate reconstruction poses a challenge to orthopedic surgeons. Materials and Methods Prospective cohort. Description of Technique Our technique for scapholunate (SL) reconstruction involves ligament reconstruction utilizing a portion of the flexor carpi radialis tendon rerouted via transosseous tunnels across the scaphoid, lunate, and triquetrum (scapholunotriquetral tenodesis...

BACKGROUND Avascular necrosis of the lunate bone (Kienböck's disease), is a condition in which lunate bone, loses its blood supply, leading to necrosis of the bone. There is probably no single cause of Kienbock's disease. Its origin may involve multiple factors, such as the blood supply (arteries), blood drainage (veins), and skeletal variations. Trauma, either isolated or repeated, may possibl...

To cite: Ozyurek S, Guler F, Canbora K, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009429 DESCRIPTION A 40-year-old woman presented to our orthopaedic clinic with left-sided wrist pain after falling. On physical examination, there was no limitation in range of motion of the wrist; however, flexion and extension were minimally painful. There was no ...

Kienböck, a German radiologist, described avascular necrosis of the lunate (Kienböck's disease) in 1910. The epidemiology and etiology are not well-known and always has been debated. A negative ulnar variance is considered as a predisposing factor for Kienböck's disease by the majority of the authors. The treatment depends upon the stage of the disease at the time of presentation and diagnosis....

PURPOSE Proximal row carpectomy (PRC) is a clinically useful motion-sparing procedure for the treatment of certain degenerative conditions of the wrist. Clinical outcome studies after PRC have shown that wrist flexion-extension averages approximately 60% of that of the contralateral wrist. The purpose of this study was to determine how the kinematics of the wrist are altered after PRC. METHOD...