PMC3725319_01
Radiographs showing (a) dislocated proximal pole of scaphoid (Sp), lunate(L), triquetrum(T) and pisiform(P) in PA view, (b) showing volar subluxation of the lunate in lateral view
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The consulted four weeks after the injury for which x rays (Figure 1) were done.
(a),(b),(c): Computed tomography 3D images showing dislocated proximal row scaphoid (Sp), lunate(L), triquetrum(T) and pisiform(P) pushing the capitulam(C)
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C.T. scan (Figure 2) was done after reviewing the X-rays which confirmed the diagnosis.
Intraoperative photograph showing dislocated Proximal pole scaphoid (Sp) and lunate(L)
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The proximal pole of scaphoid, lunate, triquetrum and pisiform were found to be dislocated as a unit (Figure 3).
Surgically removed proximal fragment of scaphoid (Sp), lunate (L) and triquetrum (T)
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Dislocated proximal row was excised (Figure 4) and wrist arthodesis was performed with the wrist in neutral position.
AP (a) and Lateral (b) radiographs showing sound union at one year follow up
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The follow-up x-rays showed sound union (Figure 5).