High speed dirt bike accident, landed on left side on out-stretched hand. Complaining of paresthesia in fingers and wrist pain.
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Complete lunate dislocation with abnormal rotation to 180 degrees. No definite fracture identified.
The patient had urgent closed reduction whilst in emergency after hours, which was unsuccessful for a complete relocation of the lunate.
Required open reduction and fixation with K-wires. Median nerve was noted to be under stretch during surgery.