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Journal of Bone and Joint Surgery, 1941;23:830-840.
© 1941 by The Journal of Bone and Joint Surgery, Inc

RETROLUNAR DISLOCATION OF THE CAPITATE WITH FRACTURE OR SUBLUXATION OF THE NAVICULAR BONE

EDWIN FRENCH CAVE M.D.1

1 Fracture Clinic of the Massachusetts General Hospital, Boston

1. Retrolunar dislocation of the capitate bone with fracture or with subluxation of the navicular is one type of carpal injury.

2. Reduction of the dislocation by manipulation can be accomplished if done early. If this is not successful, open reduction must be carried out.

3. If there is an associated navicular fracture, and satisfactory alignment of the fragments is not obtained by manipulation, open reduction and insertion of a bone graft should be done.

4. In neglected cases of this type of injury, the choice of treatment rests between excision of the first row of the carpus and wrist fusion.


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