Case Report
Volume 12 Issue 12 - 2021
Complete Dorsal Lunate Enucleation

Mohammed Reda Fekhaoui1*, Anas Antar1, Jalal Mekkaoui1, Reda-Allah Bassir2, Monsef Boufettal2, Mohamed Kharmaz1, Moulay Omar Lamrani1 and Mohammed Saleh Berrada1

1Department of Trauma and Orthopedic Surgery, Ibn Sina University Hospital, Faculty of Medicine, Mohammed V University of Rabat, Rabat, Morocco
2Department of Anatomy, Faculty of Medicine, Mohammed V University of Rabat, Rabat, Morocco
*Corresponding Author: Mohammed Reda Fekhaoui, Department of Trauma and Orthopedic Surgery, Ibn Sina University Hospital, Faculty of Medicine, Mohammed V University of Rabat, Rabat, Morocco.
Received: August 02, 2021; Published: November 30, 2021


Perilunate dislocation is a serious injury that represents about 5% of all wrist injuries. It is regularly unseen or misdiagnosed and inappropriately managed. Lunate is usually dislocated to the palmar site and can be classified into three grades using the Witvoët and Allieu classification, but dorsal enucleation of the lunate is unique and non-described. We present the case of a 32-year-old man with a complete dorsal lunate enucleation associated to a fracture of the 5th, 4th and 3rd metacarpal base. The lunate lost its normal articulation with both the capitate and the radius and is completely displaced dorsally. The capitate remained aligned with the radius while the scaphoid is displaced anteriorly and proximally to the distal radius. Using a dorsal approach to the wrist, we reduced and stabilized the lunate with three Kirshner wires (K-wires). The right wrist was immobilized in a cast for 4 weeks. Mobilization was allowed after 4 weeks and the K-wires were removed after 6 weeks. At 3 months follow-up, the patient regained full wrist range of motion.

Keywords: Lunate; Enucleation; Wrist; Dorsal Enucleation


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Citation: Mohammed Reda Fekhaoui,. et al. “Complete Dorsal Lunate Enucleation”. EC Orthopaedics 12.12 (2021): 78-81.

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