TITLE:
Radiocarpal Dislocation Associated with Enucleation of the Semilunar: A Clinical Case Report
AUTHORS:
Malick Diop, Mohamed Hachim, Ousmane Ba, Ibrahima S. Camara, Mayoro Sow, Mohamed Daffé
KEYWORDS:
Radiocarpal Dislocation, Semilunar Enucleation, Case Report
JOURNAL NAME:
Open Access Library Journal,
Vol.12 No.2,
February
19,
2025
ABSTRACT: Introduction: The association of radiocarpal dislocation with enucleation of the semilunate remains a rare injury. It often occurs following violent trauma. Observation: A 25-year-old right-handed patient presented with open trauma to the left hand and wrist. His hand had been forcibly trapped by a car door. Examination revealed a linear wound on the dorsal surface of the hand and a wound on the anterior surface of the wrist. Active bleeding along the radial artery was noted. Radiographs of the wrist and hand showed radiocarpal dislocation associated with enucleation of the lunate. The dislocations were trimmed surgically and reduced with pins. At 3 months’ follow-up, functional results were satisfactory according to the Green O’Brien score. Conclusion: Radiocarpal dislocation is a rare lesion, especially when associated with enucleation of the semilunate. Algodystrophy and semilunar necrosis are the main complications.