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.
Cite this paper
Diop, M. , Hachim, M. , Ba, O. , Camara, I. S. , Sow, M. and Daffé, M. (2025). Radiocarpal Dislocation Associated with Enucleation of the Semilunar: A Clinical Case Report. Open Access Library Journal, 12, e2928. doi: http://dx.doi.org/10.4236/oalib.1112928.
Cornu, A., Sturbois-Nachef, N., Baudoux, M., Amouyel, T., Saab, M. and Chantelot, C. (2019) Luxation Radio-Carpienne: Etude rétrospective de 14 patients. Revue de Chirurgie Orthopédique et Traumatologique, 105, 1048-1054. https://doi.org/10.1016/j.rcot.2019.10.011
Dumontier, C., Meyer zu Reckendorf, G., Sautet, A., Lenoble, E., Saffar, P. and Allieu, Y. (2001) Radiocarpal Dislocations: Classification and Proposal for Treatment. The Journal of Bone and Joint Surgery-American Volume, 83, 212-218. https://doi.org/10.2106/00004623-200102000-00008
Ilyas, A.M. and Mudgal, C.S. (2008) Radiocarpal Fracture-Dislocations. Journal of the American Academy of Orthopaedic Surgeons, 16, 647-655. https://doi.org/10.5435/00124635-200811000-00005
Dunn, A.W. (1972) Fractures and Dislocations of the Carpus. Surgical Clinics of North America, 52, 1513-1538. https://doi.org/10.1016/s0039-6109(16)39895-4
Et-Tai, T. (2009) Fracture Luxation Radio-Carpienne Ouverte (A Propos D’Un Cas et Revue de la Litterature). Revue de Chirurgie Orthopédique et Traumatologique, 39, 63-66.
Bennani, A., Ammoumri, O., Zizah, S., Almoubaker, S., Hamdi, O., Amar, F.M., et al. (2011) Fracture-Luxation radiocarpienne postérieure ouverte du poignet. à propos d’un cas. Journal de Traumatologie du Sport, 28, 117-120. https://doi.org/10.1016/j.jts.2011.04.009
Loubignac, F., Colomb, F., Thiry, A., Nasr, Z. and Lovet, J. (1999) La luxation radio-carpienne pure : A propos d’un cas et revue générale de la littérature. Revue de chirurgie orthopedique et reparatrice de l’appareil moteur, 85, 393-396.
Dodd, C.A.F. (1987) Triple Dislocation in the Upper Limb. The Journal of Trauma: Injury, Infection, and Critical Care, 21, Article 1307. https://doi.org/10.1097/00005373-198711000-00019
Mudgal, C.S., Psenica, J. and Jupiter, J.B. (1999) Radiocar-pal Fracture-Dislocation. Journal of Hand Surgery, 24, 92-98. https://doi.org/10.1016/s0266-7681(99)90047-5
Bilos, Z., Pankovich, A. and Yelda, S. (1977) Fracture-Dislocation of the Radiocarpal Joint. The Journal of Bone & Joint Surgery, 59, 198-203. https://doi.org/10.2106/00004623-197759020-00011
Green, D.P. and O'Brien, E.T. (1978) Open Reduction of Carpal Dislocations: Indications and Operative Techniques. The Journal of Hand Surgery, 3, 250-265. https://doi.org/10.1016/s0363-5023(78)80089-6
de Keating-Hart, E., Pidhorz, L. and Moui, Y. (2012) Luxation dorsale de l’articulation radiocarpienne chez une femme de 85ans. Chirurgie de la Main, 31, 195-198. https://doi.org/10.1016/j.main.2012.07.009
Lahtaoui, A., El Bardouni, A., Ismael, F., Jellali, T., Bahri, A., El Yaacoubi, M., et al. (2002) Les luxations-fractures radiocarpiennes postérieures (à propos de huit cas). Chirurgie de la Main, 21, 252-257. https://doi.org/10.1016/s1297-3203(02)00120-8
Baptista, M., Ribeiro, E., Ribau, M., Vieira Ferreira, N., Varanda, P. and Rodrigues, L.F. (2021) Open Perilunate Fracture Dislocation with Lunate Extrusion: A Case Report and Literature Review. Case Reports in Orthopedic Research, 4, 210-216. https://doi.org/10.1159/000518209