Volar Dislocation of the Triquetrum - Case Report and Review of Literature

Journal of Hand and Microsurgery

Georgios Koulaxouzidis¹  Ziad Kalash¹  Jonas Bürk¹  David Braig¹  G. Björn Stark¹ 

[1] Department of Plastic and Hand Surgery, University Medical Center Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany

关键词: Triquetrum;    Dislocation;    Ligament injury;    Wrist injury;    Carpal bones;   

DOI  :  10.1007/s12593-013-0104-4

学科分类：外科医学

来源: Thieme Medical and Scientific Publishers Pvt. Ltd.

【 摘 要 】

In contrast to triquetral fractures, dislocations of the triquetrum are very uncommon because of the very strong ligamentous support. They occasionally occur in association with complex wrist injuries, isolated dislocations however are extremely rare. We report a case of a male athlete who sustained an isolated volar dislocation of the triquetrum. The injury was treated by open reduction, fixation with Kirschner-wires and direct repair of torn ligaments. Kirschner-wires were removed after 6 weeks and physiotherapy was started. At 3 years follow-up he reported to be free of pain and showed only slightly restricted grip strength and range of motion when compared to his uninjured hand. A review of the literature indicates that final outcomes are usually satisfactory if prompt diagnosis and treatment occurs. However persistent pain and impaired hand function may result because of delayed diagnosis or insufficient repair of associated ligament injuries.

【 授权许可】

Unknown